- Molina Healthcare (Rochester, NY)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure ... most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-… more
- Guthrie (Cortland, NY)
- …staff to perform patient care. Manages daily staffing issues in conjunction with Charge Nurse / Nurse Manager , analyzing available data sources, and making ... hire Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers… more
- Rochester Regional Health (Rochester, NY)
- …appeal process. + Participates in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to address complex clinical issues, ... in the expected time frame and with most efficient utilization of resources. Carries out activities related to ...+ Licensed in New York State as a Registered Nurse + For hires after 10/28/2024, 3 years acute… more
- Molina Healthcare (Syracuse, NY)
- …key health care services (HCS) functions: care management, care transitions, utilization management, behavioral health and/or nurse advice line. Demonstrates ... services professionals, in some or all of the following functions: utilization management, care management, care transitions, behavioral health, long-term services… more
- Mohawk Valley Health System (Utica, NY)
- …care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, process and procedures ... responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision… more
- UHS (Binghamton, NY)
- …interdisciplinary team members. + Coordinates staff scheduling. + Partners with the Nurse Manager to lead performance improvement initiatives, ensure patient and ... faculty. + Plans, develops and provides unit education in conjunction with the Nurse Manager . + Participates in performance evaluation by providing feedback to… more
- Villa of Hope (Rochester, NY)
- …JOB TITLE: Intake Coordinator- RN/ Evening DEPARTMENT/PROGRAM: Medical Services SUPERVISOR: Nurse Manager /Health Coordinator PAY GRADE: 82 FLSA STATUS: NON ... EXEMPT JOB SUMMARY: Under the general direction of the Nurse Manager , the Intake Coordinator-RN is a...director of LHTC and administrative team, including billing and utilization review. + Triages potential admissions and when needed… more
- Nuvance Health (Poughkeepsie, NY)
- …of care. * Participates in quality assurance programs as requested by the Clinical Nurse Manager or Program Medical Director. * Participates in the safety ... care to an assigned group of patients through the utilization Standards of Practice and policies and procedures and...problem solving and decision making. Seeks assistance from Clinical Nurse Manager and peers as needed. Assists… more
- Mohawk Valley Health System (Utica, NY)
- …care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and procedures ... responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision… more
- Mohawk Valley Health System (Utica, NY)
- …and benchmarks through staffing utilization reports, and dialogues with charge nurse , nurse manager and/or administrator. + Collects information and ... Reviews performance and management indicator reports. + Maintains staff utilization policies and procedures. + Promotes effective communication and...data on a monthly basis to the Administrator and Nurse Manager . + Performs related duties as… more