- Molina Healthcare (Buffalo, NY)
- …position requires a current South Carolina pharmacist license **Job Summary** The Pharmacy Manager , Health Plan Pharmacy Services is an integral role of the Health ... strategy. **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and direction to Centralized Pharmacy Utilization Management team + Acts as liaison to internal and… more
- Pfizer (New York, NY)
- **ROLE SUMMARY** As part of the Chief Marketing Organization US,the Manager of Programmatic will be part of the Performance Marketing team. The role will be ... management, budget allocation, and creative testing. + Oversee the integration and utilization of DSPs, understanding the unique complexities of all platforms. +… more
- Bassett Healthcare (Cooperstown, NY)
- …as measured by direct supervisory observation and random supervisory chart review Demonstrates consideration of safety, effective utilization of equipment ... Nurse RN will provide clinical support and direct patient care in a variety of inpatient units during peak...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback Analyzes… more
- Intermountain Health (Albany, NY)
- **Job Description:** The Manager of Cash Control is responsible for leading and overseeing the Quality Assurance (QA) and Electronic Data Interchange (EDI) functions ... monitors compliance with standard operational procedures across multiple RSC functions. Review and assess processes related to RSC (ie billing, follow-up, credits,… more
- Arnot Health (Elmira, NY)
- …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective authorization and… more
- Northwell Health (Manhasset, NY)
- …- planning, assessing, implementing and evaluating patient in collaboration with the health care team. + Conducts chart review for appropriateness of admission ... the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses,… more
- University of Rochester (Rochester, NY)
- …all other staff (nursing, physicians) for all technical and patient care related issues pertaining to catheterization and electrophysiology procedures. **ESSENTIAL ... for all other staff (nursing, physicians) for all technical and patient care related issues pertaining to catheterization and electrophysiology procedures. + Assists… more
- Nuvance Health (Carmel, NY)
- …experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a...including The Heart Center, a leading provider of cardiology care . Non-acute care is offered through various… more
- Catholic Health (Buffalo, NY)
- …Two (2) years acute care RN experience required + Preferred prior insurance /managed care / utilization review experience in the role of a Case Manager ... Weekend and Holiday Rotation Hours: 7:30am to 5:30pm/8:00am to 6:00pm Summary: The RN Care Manager , Transition of Care , as an active member of the Care… more
- Catholic Health Services (Roslyn, NY)
- …and safety and every human moment in between - we're dedicated to providing better care for our communities. Every patient. Every moment. That's what it means to be ... Monitor CT workflow continuously to ensure efficiency and minimize patient wait times Review the CT completed list and identify any unread exams; escalate to… more