- City of New York (New York, NY)
- …including a minimum of two (2) years of experience as a nursing supervisor/ manager ; experience with charts or utilization reviews, working knowledge of ... care is comprehensive and appropriate. OCFH also offers individualized case consultations and training to ACS staff and foster...ongoing one to one supervision with unit staff. - Review and evaluate medical services for children with special… more
- Rochester Institute of Technology (Rochester, NY)
- …respond to prospective student queries about the PASP application process. + Review PASP application materials including audition videos when needed, holding the ... and understanding best practices for fiscal responsibility. + Work with Assistant Manager of Operations and Events and Operations Director of Performing Arts to… more
- Global Foundries (Malta, NY)
- …capacity of either an individual contributor (as directed and/or independently), or as a manager : * Create, analyze and review technical charts * Develop and ... and FMEA (Failure mode and effects analysis) for related process * Review product development requirements for compatibility with processing methods to determine… more
- Elevance Health (New York, NY)
- …policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review ... Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Virtual:** This role enables associates… more
- Elevance Health (Latham, NY)
- …the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. + **Orthopedic Spine… more
- Fujifilm (Valhalla, NY)
- **Position Overview** Reporting to the Benefits Manager , the Benefits and Wellness Coordinator must be familiar with benefit programs with a strong focus on ... **Job Description** **Responsibilities** _Wellness_ + Work with the Benefits manager on building and executing the Wellness strategy across our… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves… more
- FlexStaff (Amityville, NY)
- **Req Number** 161451 FlexStaff is seeking a Nursing Supervisor/Care Delivery Manager (RN) for our client, a non-profit healthcare organization providing home and ... hours a week + Hours: FULL-TIME 8:30am-5:00pm RESPONSIBILITIES: + Review and ensure effective development and execution of personalized...the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical… more
- University of Rochester (Rochester, NY)
- …Ensures efficient and quality functions through high-cost reporting, work queues, and case review . + Maintains departmental standards through quality assurance ... to integrate operations with other components of URMC, such as Financial Case Management, RIM, Utilization Management, Social Work, Patient Accounts, Medical… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …proposals are sent to the sales division. + Post group renewal benefit review and validations. + Attends provided/necessary training to support job role/function and ... reports and operating manuals. + Assists in obtaining financial, utilization and ad hoc reports as requested. + Creates...normal channels. + Acts as a backup to Account Manager when individual is out of the office. +… more
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