- Arms Acres (Carmel, NY)
- …as identified in patient treatment plans and requested by program director. Performs utilization review , provides progress reports and develop aftercare plans in ... implementation of the multidisciplinary treatment plan; coordinates treatment plan review ; performs these activities within established time frames. Documents… more
- Northern Rivers Family Services (Troy, NY)
- …county and community partners, and participate in any quality audit and utilization review + Provide on-site/community based/home visits, medication evaluations, ... and informal training and education to staff + Prescribe medications, monitor, and review of drug regimen for enrolled individuals + Participate in quality assurance… more
- New York State Civil Service (Orangeburg, NY)
- …is looking to hire a Registered Nurse 1, Psychiatric, to serve as a Utilization Review Coordinator (URC). Candidates from outside or within State Service can ... Friday, day shift. Proficiency in Microsoft Excel is preferred. URCs at RCPC review electronic and paper clinical medical records for inpatient and outpatient care.… more
- STG International (Watertown, NY)
- …* Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... activities. * Ensure consistency in evidence-based practice standards across the CBOC's. * Implement and attend provider huddles to assure situational awareness of clinic operational limitations and daily work planning. * Function as a director for the CLIA… more
- STG International (Kingston, NY)
- …+ Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... activities. + Ensure consistency in evidence-based practice standards across the CBOC's. + Implement and attend provider huddles to assure situational awareness of clinic operational limitations and daily work planning. + Function as a director for the CLIA… more
- Seafield Center, Inc. (Westhampton Beach, NY)
- …including EMR entries, PAS forms, and consent forms + Liaise with Utilization Review , Medical, and Transportation departments + Maintain accurate bed ... board and coordinate bed placements + Review hospital records for placement suitability; refer to alternate care levels when appropriate + Build and maintain… more
- Catholic Health Services (Freeport, NY)
- …and facilitates group counseling. Plans effective and timely discharges based on utilization review criteria and communicates discharge planning with Program ... Plan goals and documents finding every two (2) days on Recovery Plan Review and daily or as needed in Progress Notes. Maintains confidentiality of individuals,… more
- Akin Gump Strauss Hauer & Feld LLP (New York, NY)
- … through ongoing communication with partners, associates and staffing personnel. Review utilization reports and raise productivity issues as appropriate. ... processes for the Practice Leaders and practice group partners, including review of evaluation forms, guiding partner discussions of evaluation messages, submission… more
- Cognizant (Albany, NY)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... minimal supervision. + Creative thinker with good problem-solving skills specifically related to healthcare claim adjudication + Possess the ability to work at a computer for extended periods. + Must have basic Microsoft Excel skills **Salary and Other… more
- Elderwood (Waverly, NY)
- …Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated ... proficiency with Microsoft Office + Bilingual English/Spanish speaking preferred + This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers,… more