- Guthrie (Binghamton, NY)
- …(5) years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtain ... health and community providers. a) Works closely with the Medical Director and other members of the...other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved… more
- WMCHealth (Kingston, NY)
- …the patient based on subjective and objective information obtained through interview, medical chart review , formal and informal test administration, with ... that performs a functional evaluation of the client; conducts the planning and utilization of a program of purposeful activities; implements the development and … more
- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: ... in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care… more
- YesCare Corp (Coxsackie, NY)
- …to validate need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is ordered. + Utilizes ... assistants or nurse practitioners as required. + Notifies Regional Medical Director and Site Health Services Administrator...event review . + Actively participant of the Utilization Review process and follow proper procedures.… more
- Guthrie (Corning, NY)
- …at the right time, and at the most appropriate cost. a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate ... to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the...medical management and resource utilization utilizing established/approved… more
- Whitney Young Health Center (Albany, NY)
- …clinic. + Working collaboratively with clinical teams, coordinates various aspects of utilization and review and management + Working collaboratively with the ... of the National Committee for Quality Assurance (NCQA) and Patient Centered Medical Home (PCMH), works with the providers, care coordinators and quality improvement… more
- Touro University (New York, NY)
- …of special events. This role requires strong engagement with the Touro University Director of Security and the Senior Director of Facilities to provide ... maintain the electronic space schedule and related reports. + Review and adjust space assignments each semester based on... and adjust space assignments each semester based on utilization and program needs. + Verify term dates and… more
- City of New York (New York, NY)
- …interventions, conduct programmatic research and evaluation and provide medical consultation. Visiting Psychiatric Services provides psychiatric evaluation and ... as well as new programming initiatives to drive service delivery improvements. DSS Medical and Health Services Office is recruiting one (1) City Research Scientist… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify ... when prevented from completing job tasks. - Assists the Administrative Manager and Director with annual review and revisions of departmental policies, and… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... an effective rapport with the facility administrator, MDS, Rehab Director , DON, and medical director . o Demonstrating superior customer service through… more