- 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
- Mount Sinai Health System (Jamaica, NY)
- …and Board-Certified Physician, evaluates and treats adult patients having medical , psychiatric, and/or surgical problems. Performs routine histories and ... **General Skills:** 1. Patient Care: History and physical exam, interpretation and medical management of preventive care and common adult medicine conditions. 2. … more
- New York State Civil Service (Albany, NY)
- …as well as utilization management experience, including familiarity with the review of medical evidence, psychiatric evidence, a knowledge base of ... direction of the Division of Integrated Community Services for Children and Families Medical Director , the Mental Health Program Specialist 3 (Clinical) will be… more
- Research Foundation CUNY (New York, NY)
- …will develop and adapt algorithms and models that can drive innovations in medical devices and diagnostics, healthcare access and utilization , and equitable ... CUNY School of Medicine (CUNY MED) is the only medical school in the City University of New York...and reporting directly to the Research Capacity Core (RCC) director , the AI Associate (AIA) will provide creative expertise… more
- Mount Sinai Health System (New York, NY)
- …illnesses. + Documents findings and plan of care in the patient's medical record. + Consults with physician according to established standards, policies, procedures, ... approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion...staff according to the rules and regulations of the Medical Staff and the bylaws of the Hospital Staff.… more
- VCA Animal Hospitals (Bedford Hills, NY)
- …including anesthesia/ surgery, radiology and controlled substance logs. + Meet with Medical Director and Hospital Managers regularly to discuss, evaluate and ... strong medical skills. **Job Responsibilities** + Interview, hire, train, review , schedule, develop, and discharge technical staff. + Mentor technical staff in… more
- Nuvance Health (Poughkeepsie, NY)
- …in quality assurance programs as requested by the Clinical Nurse Manager or Program Medical Director . * Participates in the safety program. * Participates in ... Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary...care to an assigned group of patients through the utilization Standards of Practice and policies and procedures and… more
- Catholic Health Services (Uniondale, NY)
- …and facilitates group counseling. Plans effective and timely discharges based on utilization review criteria and communicates discharge planning with Program ... We offer career advancement, a rich tuition reimbursement program, medical benefits, a generous pension plan, 403B for retirement...documents finding every two (2) days on Recovery Plan Review and daily or as needed in Progress Notes.… more
- New York State Civil Service (Claverack, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment… more
- Stony Brook University (Commack, NY)
- …of certified conditions and other formulary rules. + As a designee for the Director , review prior authorizations in accordance with Program criteria. Ensure all ... improvement and monthly/quarterly outcome reporting. + Conduct regular drug utilization reviews (DUR), controlled substance audits, prescriber reviews and other… more