- STG International (Kingston, NY)
- …compliance and patient safety. + Design and participate in quality improvement, care management , risk management , peer review, utilization review, clinical ... and participate in the recruitment, and orientation of clinical staff physicians, physician assistants and nurse practitioners. + Collaborate with the Clinic Manager… more
- CDPHP (Albany, NY)
- …with managed care pharmacy principles including prior authorization reviews, formulary management , and utilization review preferred. + Experience with Microsoft ... for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality… more
- Pfizer (New York, NY)
- …insights to inform branded and unbranded print and digital asset management and development across the consumer omnichannel ecosystem. This includes optimizing ... and Unbranded patient resources available and field training for improved utilization of resources. + Co-Lead (with BMS counterpart) development, execution, and… more
- Glens Falls Hospital (Glens Falls, NY)
- …Manager will work closely with the Interdisciplinary Team to ensure appropriate utilization and provision of resources for patients including referrals to outpatient ... be determined by the level and intensity of care management to be provided. * * *The Glens Falls...coordination for the patients who seek services within the physician practices of Adirondack Medical Services * Conduct Pre-Visit… more
- Sedgwick (Albany, NY)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... college or university preferred. **Experience** Four (4) years of claims management experience or equivalent combination of education and experience required.… more
- Evolent (Albany, NY)
- …Director direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. Acts ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- Pfizer (New York, NY)
- …and reporting, including RWD, Data Science, etc. **Vendor / Offshore Resource Management ** + Ensure team commissioning and contracting through preferred vendors + ... of flexible resources + Be accountable for continuous improvement and identification/ utilization of new capabilities to maximize the competitive advantages of the… more
- WMCHealth (Suffern, NY)
- …Nurse Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing/Nursing Management Department: Labor & Delivery Union: YES Union Name: 1199 - ... the nursing plan of care and/ or collaborates with physician regarding the need to revise the treatment plan....health care providers and community resources to ensure full utilization of support services which address patient needs. +… more
- St. James Hospital (Hornell, NY)
- …all nursing staff within the facility along with elements of case management . Performs complex and varied tasks requiring independent knowledge, its application to ... clinical care of patients. + Demonstrates leadership ability and management skills, including delegating when necessary, along with promoting intra/interdepartmental… more
- Boehringer Ingelheim (Rochester, NY)
- …of care" model, including discharge protocol, treatment algorithms, disease management , etc.Analyzes qualitative and quantitative territory information to optimize ... supporting analysis tools to plan activity, report and monitor resource utilization , and maintain account and customer records + Completes all administrative… more