- CVS Health (Farmingdale, NY)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients' prescriptions are filled promptly, safely, and accurately, and we are providing caring service that… more
- Villa of Hope (Rochester, NY)
- …coordinator, providers, director of LHTC and administrative team, including billing and utilization review . + Triages potential admissions and when needed ... assists in providing alternative appropriate referrals. + Conducts client admissions meeting regulatory requirements. + Trains and guides other nurses in the admission process. + Participates in the on-call rotation to cover nursing needs. + The Intake… more
- Catholic Charities Family Community Services (Newark, NY)
- …record keeping as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation activities as ... directed. + Coordinates discharge planning for clients + Provides education to clients on health and wellness issues. + Participates in staff meetings and clinical supervision as directed + Actively pursues development of professional competencies related to… more
- SUNY Upstate Medical University (Syracuse, NY)
- …accurate attendance and therapy records. Interfaces with nursing, medical staff, utilization review social services, discharge planner, therapy team to ... assist in successful treatment plan and patient discharge. Assess and recommends and requisitions purchases for equipment and supplies that pertain to therapeutic recreation. Abides by department policies and procedures and operational guidelines. Supervises… more
- Northern Rivers Family Services (Albany, NY)
- …This is an onsite position Responsibilities: + Coordinate with Intake and Utilization Review groups and comprehensive service Miriam House clients, prospective ... clients, their families, and referral agencies + In collaboration with program leadership, oversee the hiring of all OMH Community Residence Staff + Direct unit staff activity and client programming + Serve as direct supervisor to residential supervisor, case… more
- TEKsystems (Flushing, NY)
- …Administrators, coordinates department activities with Financial Management, Administration and Utilization Review . Responsibilities: + * Plan, organize and ... manage an efficient Admitting Department, ER Registration and Pre-Testing Department. + * Cooperates with all other departments, with the hospitals and physicians to ensure prompt admission and placement of the patient into an appropriate setting. + Design… more
- Guthrie (Corning, NY)
- …leadership and autonomy in nursing practice. Preferred experience with care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... experience preferred. Education: Bachelor's degree in nursing or related field required. With an employment agreement, will consider applicant who is actively pursuing their bachelor's degree. Master's Degree preferred. Licenses: The Care… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and ... operating room procedures. This individual seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening or have questionable admission criteria. **Qualifications** + 1-2 years related healthcare administrative… more
- CVS Health (New York, NY)
- …consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise ... and business direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs… more
- New York State Civil Service (Vestal, NY)
- …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc. Additional Comments ... This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet… more