- Heritage Ministries (Greenhurst, NY)
- …growth mode and currently seeking an Administrator to join our team! The Nursing Home Administrator will oversee and be responsible for the total operation of the ... in the organization's commitment to its employees, residents, and larger community. + Review monthly facility operating and budgetary statements + Ensure the proper … more
- Rochester Presbyterian Home (Rochester, NY)
- …and approved by RPH. + Reports findings to other departments such as utilization review , infection control, and risk management. + Responsible for ensuring ... in working in an environment that's like working from home , where elders thrive and staff is empowered, please...in compliance with nursing scope of practice and all health , safety, and wellness standards. Personnel Functions + Develop… more
- Northwell Health (Staten Island, NY)
- …in case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. ... care team. + Serves as a resource to the health care team regarding quality, utilization of...utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of… more
- Mount Sinai Health System (New York, NY)
- …**Experience Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. ... are not limited to: a Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... are not limited to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Arnot Health (Bath, NY)
- …Nursing (DON) all nursing care activities based on the philosophy of Arnot Health using initiative and independent judgment to provide the best available services to ... This position is entrusted with directing, and ensuring the health and well-being of our residents by supervising and...attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective… more
- Nuvance Health (Poughkeepsie, NY)
- …management, and patient education to improve self-management of chronic disease. 8. Utilization Review Care Coordinators reviews all admissions and continued ... *Description* Summary: Provide behavioral health consultation to children, adolescents, adults and families...coordinates patient care conferences as required and will do home visits as necessary. 6. Social Work Care Coordinators… more
- Garnet Health (Harris, NY)
- …the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health , we are committed to ... Overview At Garnet Health , the Hudson Valley's leading integrated health...and rural life, we invite to make your career home with us as a Social Worker on our… 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 ... directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and...+ Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge… more
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The ... population. ** 7. In conjunction with the patient/family, other members of the health care team, the payer, and available resources, formulates a plan to address… more