- Evolent (Albany, NY)
- …Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization … more
- Evolent (Albany, NY)
- …As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization … more
- SUNY Upstate Medical University (Syracuse, NY)
- …and community-based partners to develop strategies to decrease unnecessary hospital ED utilization . In this position, the social worker will Identify utilization ... knowledge of social determinants, population health and drivers of utilization . Duties will include consultation through assessment, counseling, intervention,… more
- Rochester Regional Health (Rochester, NY)
- …optimal patient outcomes in the expected time frame and with most efficient utilization of resources. Carries out activities related to utilization management, ... base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay reviews and assists with managing the length of… more
- Veterans Affairs, Veterans Health Administration (Kings County, NY)
- …obtain and appropriately distribute Psychology resources with NYHHS. -Oversees the utilization of funds, supplies and equipment as assigned. -Assures that functional ... reminders, compensation and pension exams. Is familiar with clinic utilization , VISTA scheduling requirements, productivity guidelines, and performance measures for… more
- New York State Civil Service (New York, NY)
- …Law Article 15-A and related regulations, and the MWBD Division, concerning the utilization of certified MWBEs on state contracts. Duties include but are not limited ... and take corrective actions on agency/authority annual goal plans and quarterly utilization reports for compliance with Executive Law Article 15-A, MWBD Division… more
- University of Rochester (Rochester, NY)
- …and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are not limited to ... pre-certifications, Utilization Management, Medicaid Pending, third party payer issues, and...Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + External coordination… more
- Humana (Albany, NY)
- …communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- FranklinCovey (Albany, NY)
- …metrics, communicate impact, gather feedback, and identify opportunities for greater utilization and expansion + Use client data ( utilization , engagement, ... 2. Services delivery 3. Client health score 4. Defined success plan 5. License utilization 6. Pulse and engagement 7. Adherence to the client engagement process In… more
- Publicis Groupe (New York, NY)
- …leadership on resourcing strategy, staffing forecasts, talent development, and utilization optimization. + Drive end-to-end project lifecycle design, improving flow ... forecasting, oversight, and alignment between scope, spend, and resource utilization . + Improve financial performance by optimizing resource allocation,… more