- Trinity Health (Syracuse, NY)
- …the administrative team to oversee department activities. Manage cost management, utilization review , quality assurance, and medical protocol development. ... guidelines and assist in policy/procedure development. Oversee clinical peer review , documentation, and care planning. Assist with clinical patient complaints… more
- Astound (Manhattan, NY)
- …leads and executes day-to-day Social Media operations, overseeing the production and review process of all organic/boosted Social Media content and associated assets ... digital marketing fundamentals and content/video editing tools. Proficient in the utilization of all the Microsoft Office Suite programs, including, but not… more
- Catholic Health System (Buffalo, NY)
- …better outcomes. 11. Holistic development of patient treatment plans, readily available for review in the EHR. 12. Utilization of appropriate consultation and ... referral orders. 13. Promoting patient awareness of the nature of patient's illness, condition, treatment proposal or its alternatives with reasonable explanations of expected outcomes, potential complications and length of recovery. 14. Promoting the delivery… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category Health ... Code 13210 Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- Catholic Health (Kenmore, NY)
- …Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review , as an active member of the Middle Revenue Cycle and ... interdisciplinary care team, provides comprehensive Utilization Review to patients and families in the hospital setting. Utilizing foundational nursing clinical… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... environment.* Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal communication skills.*… more
- Rochester Regional Health (Rochester, NY)
- …able to work independently with minimum direction. + Act as a resource for utilization review stakeholders and assists team members in clinical problem solving. ... Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per...40 hours (Full-Time) Schedule: Monday - Friday, Days SUMMARY: Review all inpatient medical necessity denials for the health… more
- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Highmark Health (Albany, NY)
- …determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure… more
- Samaritan Daytop Village (Rhinebeck, NY)
- …staff as needed with assuring compliance with external and internal utilization review /quality and appropriateness requirements. What qualifications do you ... mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory… more
