- Heritage Ministries (Greenhurst, NY)
- …field. + Master's Degree preferred. + Professional license in Nursing Home Administration required. Responsibilities: + Ensure the development and implementation of ... in the organization's commitment to its employees, residents, and larger community. + Review monthly facility operating and budgetary statements + Ensure the proper … more
- UHS (Johnson City, NY)
- …in billing and clerical work + Previous experience in data processing + Certified home care and/or utilization review work experience Why You'll Love ... and compliance requirements. Primary Department or Work Location: Patient Accounting, UHS Home Care Primary Work Shift: Day Scheduled Weekly Hours: 40 Compensation… more
- Kaleida Health (Williamsville, NY)
- …Nursing Experience required. 2 years of experience in any combination of case management, home care and utilization review preferred. Knowledge of and ... with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working to achieve… more
- City of New York (New York, NY)
- …overall policy and implementation strategies related to M/WBE reporting, outreach and utilization . - Effectively work with ACCO and Agency Staff, and with external ... the full array of procurement activities related to M/WBE utilization . Ensure that work is conducted timely and in...and colleagues from other City Agencies. MWBE Reporting: Extract, review , and assess complex and diverse data sets pertaining… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …recommendations and/or decisions on Utilization or Case Management activities. Utilization review activities include: reviews of requests for broad range ... + Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge...including fluorescent lighting. + Ability to work in a home office for continuous periods of time for business… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Utilization Review Clinician will primarily be responsible for managing ... behavioral health benefits through utilization management functions as well as case management activities. **Qualifications** + Masters level licensed behavioral… more
- CenterWell (Albany, NY)
- …programs and will be charged to appropriately balance how we mitigate utilization management administrative costs while maintaining or decreasing drug spend & trend, ... Guide (NFG). This individual influences the department's strategy for optimizing the utilization management process in balance with mitigating drug utilization … more
- Evolent (Albany, NY)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- Catholic Health Services (West Islip, NY)
- …of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource ... advice, and quality issues. Maintains knowledge of government regulations related to utilization review , transition planning, billing, and managing patients and… more
- CenterWell (Clifton Park, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... Clifton Park, NY **This is not a remote or work-from- home position. This position requires you to sit on-site...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more