- Rochester Regional Health (Rochester, NY)
- …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... or attending physician to identify cause. Communicates as needed with Physician Advisor , assures patient is placed on clinical pathway and monitors… more
- Grifols Shared Services North America, Inc (New York, NY)
- …countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...relationships in institutions aligned with customer segmentation. + Develop physician influencer champions to submit and approve P&T requests… more
- Rochester Regional Health (Rochester, NY)
- …efficient utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and referral to other ... + Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care...hospital care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience… more
- Nuvance Health (Poughkeepsie, NY)
- …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …to improve processes to meet the performance measure goals (SAIL/EPRP) and improve utilization management ; reviewing requests and determining the best way to ... The Deputy Chief of Staff (DCOS) is a key advisor to the Chief of Staff and Director of...required. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus,… more
- Kaleida Health (Buffalo, NY)
- …and tactics to successfully execute, support, implement, and monitor the DRG and Utilization Management Clinical Denial teams Work Plan and, assists in the ... as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments… more
- Fresenius Medical Center (Jamaica, NY)
- …departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. + ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- Veterans Affairs, Veterans Health Administration (Oneonta, NY)
- …team let huddles and weekly team meetings where patient care planning and management occur, except during staff shortages for coverage. Performs daily review of ... active/pending consults, physician encounters, EWL, Recall Reminder list, Return to Clinic...administrative reports and documents for supervisor and Clinic Practice Management leader, generates patient workload reports for validation and… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …relationships with the distributors aligned with Managed Markets *Understanding of Physician Management companies (eg, Intrafusion, Corinthian, Healix, etc) ... are relevant and specific to each influencer in the decision process ( Physician , Academic Centers ie neurology department with residents and fellows, Infusion Suite… more
- CVS Health (Albany, NY)
- …experience in health care delivery (clinical practice) Experience in managed care, care management , utilization management , quality management , or ... - Clinical Support** is an exciting opportunity for a physician to use their clinical background, skills, and experience...products and programs as well as sales and account management . Duties include support for - case management… more