- Catholic Health Services (West Islip, NY)
- …hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning ... : + Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed Care and Revenue Cycle… more
- Amgen (New York, NY)
- …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
- MVP Health Care (Rochester, NY)
- …every interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes ... **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months… more
- CenterLight Health System (Ridgewood, NY)
- …the employment Experience: + Minimum of 2 years of administrative experience in a management capacity in a certified home health agency (CHHA), long-term home ... care. Serve the organization as a member of the management team, working alongside all departments and employees to...Delivery reports. + Participates and represents the Community Health Nurse (CHN) in IDT meetings, when required. + Balance… more
- Guthrie (Vestal, NY)
- …Hospice in Vestal, NY as a Full-Time RN Case Manager If you're a Registered Nurse who finds purpose in compassion, thrives in autonomy, and wants to be part of ... Family: Be part of a team that feels like home . Recognitions & Awards: + Becker's Best Places to...Under the direction of the interdisciplinary team, the Hospice Nurse works under the general direction of the Hospice… more
- University of Rochester (Rochester, NY)
- …Serves as the primary internal contact for national and state registry data management questions, issues or concerns, but not limited to clinical data collection, ... validation, delivery, reconciliation, and data management activity timeliness. Concurrently and retrospectively reviews medical records and data to identify patient… more
- CenterLight Health System (Allerton, NY)
- …of five (5+) years of experience in care/case management , disease management , population health management , utilization review, quality assurance, or ... with intake and enrollment and care delivery teams regarding in- home or virtual assessment appointments with prospective or enrolled...escalate issues of changes to ensure proper care and management of cases are followed. + Promotes and educates… more
- Sharecare (Albany, NY)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- Calvary Hospital (Bronx, NY)
- …unencumbered NYS licensure. + Five (5) or more years experience in either Utilization Management , Quality Assessment and Improvement, Risk Management , and/or ... For over 125 years, Calvary Hospital and Calvary @ Home located in the Bronx, New York has...Check. + Free On-Site Parking Requirements Participates in the Utilization Review, Discharge Planning, Risk Management , and… more
- Crouse Hospital (East Syracuse, NY)
- …stability within a fast-growing Medical Practice + Longevity and consistency of management + Tuition reimbursement program + Affiliation with Crouse Hospital Other ... protocols and activities to improve patient access and care. Ensures efficient utilization of all resources. Provides leadership, supervision and motivation of all… more