- Molina Healthcare (Syracuse, NY)
- …that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined ... role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate with… more
- Cardinal Health (Albany, NY)
- …strategy to seize the identified opportunity, execute strategy. Resulting in additional utilization of the Cardinal Service offering. + Prepare and present Quarterly ... exceed quarterly growth targets. + Align with Inside Account Manager on roles and responsibilities ensuring each position is...a specialty pharmacy setting is preferred. + Experience in utilization of CRM _What is expected of you and… more
- Rochester Regional Health (Rochester, NY)
- …Clinton Avenue (Hybrid Opportunity available upon completion of orientation/training and manager sign-off) Hours Per Week: 40 Schedule: Monday-Friday 8am-4:30pm or ... to improve clinical practice. * Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research… more
- Elevance Health (Buffalo, NY)
- …illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate member ... the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through… more
- Albany Medical Center (Albany, NY)
- …Functions in the OR setting under the direction of the OR RN clinical manager (s). Assures surgeons' needs as identified on the surgical preference card are complete ... within the surgical cores of supplies and instruments and tracks utilization within the appropriate inventory/instrument control systems as developed and directed… more
- University of Rochester (Rochester, NY)
- …Medicine outpatient pharmacies, including the safe and effective implementation and utilization of technology and automation as appropriate. + Develops and ... licensing requirements and formal professional standards pertaining to drug distribution, utilization and control. + Reviews and manages all safety concerns… more
- University of Rochester (Rochester, NY)
- …equity considerations._ **Responsibilities:** Under general direction from Nurse Leader, Nurse Manager or designee assists providers during exams. Performs a variety ... provider based on individual provider preference. + Responsible for efficient room utilization and ensures patient wait time is minimized. + Escorts patients from… more
- The Estee Lauder Companies (New York, NY)
- …lines including In Store, Freelance, T&E, Conference and Meeting budgets, Hours Utilization /Selling Cost, Counter Repairs leveraging all expenses to deliver on sales ... Engagement strategies to maximize client loyalty through service experiences. + Ensure appropriate utilization of COEs by field teams to drive focus at point of… more
- Elevance Health (New York, NY)
- …clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation with ordering physicians, ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. + **Orthopedic Spine… more
- CenterWell (Albany, NY)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical ... community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a related field… more