- Comunilife (New York, NY)
- …assessment review for each client, submitting report and recommendations to utilization review committee. + Responsible for maintaining contact with other ... of services + Design and implement a comprehensive program evaluation. Evaluate/ review employees' annual job performance. + Prepare any and all correspondence… more
- STG International (Kingston, NY)
- …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... of Quality Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in areas of responsibility. +… more
- STG International (Dunkirk, NY)
- …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... of Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in of areas of responsibility.… more
- UHS (Johnson City, NY)
- …clerical work + Previous experience in data processing + Certified home care and/or utilization review work experience Why You'll Love Working at UHS At United ... communication skills and a thorough understanding of insurance requirements. You'll review clinical documentation to confirm it meets agency and payer standards… more
- WMCHealth (Valhalla, NY)
- …experience in a hospital setting, preferably cardiology, radiology, surgery or utilization review , required. Previous revenue integrity experience, Excel and ... claim edits involving any type of clinical or coding review or required modifier based on services rendered. +...Network Hospitals CDM's to maximize revenue. + Performs periodic review of codes and works with patient billing regarding… more
- STG International (Auburn, NY)
- …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... of Quality Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in of areas of responsibility. *… more
- YesCare Corp (Coxsackie, NY)
- …measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Provides appropriate ... Provides monthly in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as requested. Sponsors physician… more
- C&W Services (New York, NY)
- …performance through analysis of work order flow, project demands and expectations. May review utilization and cost data to recommend corrective actions to reduce ... systems (CMMS, etc) and standard procedures to optimize maintenance resource utilization and productivity. Responsible for effective configuration and utilization… more
- CDPHP (Albany, NY)
- …care pharmacy principles including prior authorization reviews, formulary management, and utilization review preferred. + Experience with Microsoft Office, ... Care Pharmacist -Level I is primarily responsible for the operational review of pharmacy medical exception/prior authorization requests, the communication to members… more
- New York State Civil Service (Claverack, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment… more