- University of Rochester (Rochester, NY)
- …preparations for providers, including but not limited to time and calendar management while optimization of provider patient schedule, coordination of patient care ... the time and effort of providers by reviewing reports such as Clinic Utilization , Master Templates and the volume of Referrals. + Develops, enforces and continuously… more
- Mount Sinai Health System (New York, NY)
- …are not limited to: a Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Guthrie (Binghamton, NY)
- …healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and ... experience in an acute care setting with strong care management , utilization review, and payer knowledge. A... through ongoing interaction with the patient and family/caregivers, physician and other health care providers to achieve designated… more
- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... management and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred. + Keeps… more
- Arnot Health (Elmira, NY)
- … of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload ... practice. The Case Manager will work cooperatively with the Physician Advisor and Team. DUTIES AND RESPONSIBILITIES: ** 1....nursing in acute care hospital setting or two years utilization management in an acute care hospital… more
- Guthrie (Corning, NY)
- …healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and ... Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working… more
- Centene Corporation (New York, NY)
- …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Centene Corporation (New York, NY)
- …VPMA responsibility in absence of VPMA. + Provide medical leadership for all utilization management , pharmacy, case management , disease management , ... Provide medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration...Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician… more
- Mount Sinai Health System (New York, NY)
- …NYSNA-SLW NYSNA at Mount Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** 1. Principle Duties and ... are not limited to: 1. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more