- 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
- Whitney Young Health Center (Albany, NY)
- …to continually assess and improve the quality of patient services-conducts monthly utilization review . + Participates in the recruitment of clinical staff. ... + Facilitates a multidisciplinary integrated team approach to the provision of clinical treatment services. + Demonstrates excellence in both internal and external customer service. + Understands and is able to effectively communicate HIPAA compliance,… more
- Deloitte (New York, NY)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and ... health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience in medical terminology, medical coding, and ICD-10-CM/PCS, IPPS payment system is a plus' + Experience in quality measurement,… more
- Mohawk Valley Health System (Utica, NY)
- …compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work experience. ... Preferred: + Associate degree in healthcare related filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree in related healthcare field (such as respiratory therapy or social work) may be… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …accreditation standards pertaining to its state licensure, third party administrators, utilization review and management requirements. The Manager of Compliance ... and Clinical Operations will also have oversight of HealthDirect's clinical operations and will be responsible for ensuring that clinical standards are strictly managed and adhered to at HealthDirect. **Responsibilities** + Partners with internal and external… more
- Caz Recovery (Buffalo, NY)
- …and record keeping. + Assists with monitoring of clinical documentation and utilization review processes as assigned. + Provides substance use screening, ... intake, orientation and assessment as necessary. + Provides substance use diagnostic impression as determined by LOCADTR. + Provides treatment planning, individual and group counseling, family counseling services, psycho-education and case management services.… 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
- University of Rochester (Albany, NY)
- …as required by third-party payors. Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed. + ... Interviews responsible parties to determine credit status as a tool for securing patient accounts. Verifies information collected. Maintains confidentiality of all patient information. + Exercises knowledge of sponsorship programs available to patients.… more
- Comunilife (Bronx, NY)
- …Program Director to assure quality program service delivery and participates in Utilization Review /Quality Improvement process. + Participate in case finding, ... networking and outreach activities to increase clients' enrollment. + Works closely with agency's program directors to ensure assure continuity of care within the organization. Qualifications Education and Experience Requirement(s) + Associate's Degree in… more
- City of New York (New York, NY)
- …vetting energy savings calculators and reviewing supporting audits, as needed; (2) utilization and review of existing tools, such as energy calculators, ... entities to identify and develop energy efficiency projects through the review of Energy Efficiency Reports (EERs), Energy Master Plans, electrification… more