- Excellus BlueCross BlueShield (Buffalo, NY)
- … management rounds. + Provision of clinical oversight and leadership to Utilization Management /Case Management (UM/CM) staff working with the children's ... in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers...Develops and implements the BH sections of the Quality Management / Utilization Management (QM/UM) Plan, including… more
- CenterLight Health System (Ridgewood, NY)
- …experience in care/case management , disease management , population health management , utilization review , quality assurance, or discharge planning ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
- FlexStaff (New York, NY)
- …experience in care/case management , disease management , population health management , utilization review , quality assurance, or discharge planning ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
- CenterLight Health System (Ridgewood, NY)
- …to deliver high-quality care. Serve the organization as a member of the management team, working alongside all departments and employees to support and oversee the ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care… more
- FlexStaff (Flushing, NY)
- …to deliver high-quality care. Serve the organization as a member of the management team, working alongside with all departments and employees to support and oversee ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: - Review and ensure effective development and execution of personalized care… more
- FlexStaff (New York, NY)
- …to deliver high-quality care. Serve the organization as a member of the management team, working alongside with all departments and employees to support and oversee ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure effective development and execution of personalized care… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $60,028.00 - $99,023.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse (RN) - Full TimeHIV Medicine Clinic - Albany, NY We have an ... comprehensive HIV services including primary medical care, medical case management , medication adherence, peer services, substance abuse counseling, mental health… more
- Guthrie (Corning, NY)
- …demonstrates leadership and autonomy in nursing practice. Preferred experience with care management / utilization review , and payer knowledge. Fast paced ... patient assessment and support for treatment regimen adherence and medication management , education to patient and/or family members to support self- management… more
- Mount Sinai Health System (New York, NY)
- …as a liaison to nursing, medicine, department chairs/chiefs, care management , administration, and other department leadership. Ensures advanced practice nurses ... clinical advanced practice nursing. + Previous Nursing leadership and management experience preferred. + Possesses excellent communication and interpersonal skills.… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... all telephone communications in accordance with department procedures using Care Management and other resources, escalates issues related to business associate… more