- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department's… more
- Outreach Development Corporation (Brentwood, NY)
- …with regard to tracking, reporting and outcome objectives, including ongoing internal review of service delivery. . Assist with coordination, training and support to ... the Site Director. . Implement vocational services and promote utilization of staff that serves to enhance program ...utilization of staff that serves to enhance program utilization , service delivery and workforce development for clients. .… more
- City of New York (New York, NY)
- …is composed of 5 Units: - Labor Monitoring Unit (LMU) - Integrity Review Unit (IRU) - Engineering Audit Division (EAD) - System Administration & Engagement ... (EOIP)unit was created to support the Mayor's goal of increasing the utilization of minority-owned and/ or women-owned business enterprises (M/WBEs) in the design… more
- Mount Sinai Health System (New York, NY)
- …of 340B program compliance, hospital pharmacy operations, and medication utilization . + Demonstrated ability to manage complex projects, prioritize tasks, ... interactive dashboards and reporting tools to monitor pharmacy expense trends, utilization , and key performance indicators. + Manage and maintain Pharmacy DataMart… more
- Spectrum Health and Human Services (Buffalo, NY)
- …Care Coordinator will be responsible for the following outcomes: to reduce utilization associated with avoidable and preventable inpatient stays, to reduce ... utilization associated with avoidable emergency room visits, to improve...to ensure client care plan needs/goals are met. + Develop/ review /revise the individual's plan of care with the client/family… more
- City of New York (New York, NY)
- …coordination, lease and property management, land use and environmental review activities, contract administration for facilities services, and warehouse operations. ... all difficult and responsible architectural work associated with the preparation, review , and management of the Agency's construction program. - Develop project… more
- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, ... provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational… more
- University of Rochester (Rochester, NY)
- …written and verbal communication and customer service skills. **_Financial Management_** + Review each visit for insurance history by utilizing the hospital system ... Medicare and other payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third party payers. + Maintain a… more
- Stony Brook University (Stony Brook, NY)
- …patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. * Help connect the ... to care * Prior experience with Care Management or Utilization Management * Understand levels of care including Inpatient,...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- University of Rochester (Rochester, NY)
- …Services Unit. Expected to act with minimal guidance in the areas of review and approval of critical documents; SOP's, Process Orders and CMSS documents. The ... and labeling components and assembled clinical supplies. + Incoming inspection and review of all labeling, drug products and components documentation for conformance… more