- Rochester Regional Health (Rochester, NY)
- …navigation for patients, including triage management, algorithm management, utilization management and resource management. Organizes services across the ... after admission-within the first 12 to 24 hours. Applies utilization review criteria to assess and document appropriateness of...in the state of New York. PREFERRED QUALIFICATIONS + Prior experience in ICU, ED or Heart Failure strongly… 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
- Abbott (Hauppauge, NY)
- …includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management, market ... territories. + Influence stakeholders within the hospital setting. + Drive product utilization in key growth categories and driving sales/placement of capital to… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary), ... qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited...annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.… more
- Veterans Affairs, Veterans Health Administration (Bath, NY)
- …track service activities including visits, referrals, caregiver demographics, equipment utilization and caregiver and Veteran satisfaction. Develops implements and ... evaluates clinical guidelines and protocols to establish appropriate utilization of services. Participates in direct caregiver and Veteran communication to identify… more
- Bristol Myers Squibb (New York, NY)
- …Strategic Accounts will be responsible for optimizing access and appropriate utilization of ORENCIA IV (abatacept) and SOTYKTU (Deucravacitinib), while elevating BMS ... targeting key accounts to optimize access, reimbursement, customer experience, and appropriate utilization of ORENCIA IV and SOTYKTU. As such, a deep working… more
- CVS Health (Albany, NY)
- …for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department ...the subsequent care continuum until member can return to prior level of functioning in the community. - Facilitates… more
- CUNY (New York, NY)
- …with hub EDs in developing and implementing facility plans, including maintenance, space utilization , and improvement projects. + Partner with the VC, AVC, and hub ... promote effective labor relations and a positive workplace culture. + Manage the utilization of facility technologies as envisioned and directed by the VC and AVC;… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from ... and documents on patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases are reviewed for level… more
- Stony Brook University (Stony Brook, NY)
- …* Follow patients telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand ... patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. * Help connect the… more
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