- Ellis Medicine (Schenectady, NY)
- …beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . * Utilization Management Activities; Collaborates with Case Managers and ... to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers....other team members for optimal Utilization Management information throughout the continuum. Maintains relationships with… more
- Molina Healthcare (Yonkers, NY)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... and quality initiatives under the direction of leadership. + Monitors drug utilization and assists leadership team in understanding quality and cost control issues… more
- Monroe County, NY (Rochester, NY)
- Full Jobs List Full Exams List Registered Nurse (RN) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse (RN) - Utilization ... Hospital Description of Duties This position is in the Utilization Review Unit and functions as an assessment nurse....and works under the general supervision of a Nurse Manager , or other higher-level staff member. General supervision may… more
- Elevance Health (Latham, NY)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
- Mount Sinai Health System (New York, NY)
- …homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years experience as a ... **Job Description** **RN/Case Manager MSH Case Management PT Days** The Case...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- City of New York (New York, NY)
- …contracting and fiscal functions within the Office of Community Outreach. The Contract Manager is responsible for the utilization of fiscal and contract ... one (1) Administrative Staff Analyst NM to function as a Contract Manager . Under the direction of the Assistant Deputy Commissioner, Community Engagement, with… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …accreditation standards pertaining to its state licensure, third party administrators, utilization review and management requirements. The Manager of Compliance ... and programs. **Job Summary:** Reporting to the Director of Operations, the Manager of Compliance and Clinical Operations is responsible formaintaining an effective… more
- Applied Materials (Albany, NY)
- …drive accountability and attainment of key performance metrics for total lab spending and utilization + Assist the lab manager in development of Annual Operating ... **Job Description** This finance role reports to the SPG Lab Finance Manager . It collaborates with various cross-functional organizations globally and requires the… more
- Bassett Healthcare (Oneonta, NY)
- …and enjoy the best quality of life possible. What you'll do The Case Manager RN supports the physician and interdisciplinary team in facilitating patient care, with ... timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case … more
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