- Cummins Inc. (Lakewood, NY)
- …to work plan development/upkeep, facilitating monthly 1:1 meeting, mid-year performance review preparation, year-end performance review preparation. Assist team ... Operation (GTO) initiative compliance. Responsible for test cell Multi-State Utilization (MSU) monitor quality, compliance and reporting. Maintaining and… more
- EPI (Rochester, NY)
- …of meetings, ensure all information is scanned into intake folder for committee review , issue approval/ denial letters. + Respond to all intake inquiries. + Ensure ... to departments/ QIDP team. + Send out Self- Direction utilization reports monthly. + Report all policy violations to...ability to perform the essential functions, will need to review reasonable accommodations with Human Resources. + Must be… more
- Highmark Health (Albany, NY)
- …nurse reviewer and other departments based on documentation procedures, including review type, clinical information, and decision timeframes. Follow policies and ... timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and… more
- City of New York (New York, NY)
- …regular basis. - Communicate with vendors to request required documents, and review submitted documents for completion and compliance with procurement rules and ... portfolio and provide accurate status of procurement actions. - Promote increased utilization of City-Certified M/WBE vendors and assist in the achievement of other… more
- Albany Medical Center (Albany, NY)
- …as well as independently. Essential Duties and Responsibilities include: + Performs review and triage of incoming test results, patient requests and pharmacy ... renewals; facilitates call-backs to patients as necessary + Facilitates the utilization of resources to meet patient outcomes and contribute to Facility (AMC), New… more
- University of Rochester (Rochester, NY)
- …accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar, ... referral, verification, and/or service authorization in advance of treatment through review of dental insurance benefits and requirements. Performs other duties for… more
- Fresenius Medical Center (New York, NY)
- …requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality ... + Collaborates closely with, providing oversight as needed to, the Clinical Coordinator /Charge RN or Nurse Supervisor acting as nurse manager, the Medical Director,… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a comprehensive total rewards ... goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience. Makes recommendations for… more
- New York State Civil Service (Albany, NY)
- …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review . ? The ideal candidate(s) ... RTF admission. The Mental Health Program Specialist 2/RTF Authorization Coordinator position will manage assigned RTF authorization reviews in...will have direct care and utilization management experience, including familiarity with the … more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …orientation, competencies, and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic ... CLC RN collaborates with the Minimum Data set (MDS) coordinator to ensure documentation is accurate and reflective of...ensure documentation is accurate and reflective of the Resource Utilization Group (RUG) score. This position is eligible for… more