- WMCHealth (Kingston, NY)
- …that performs a functional evaluation of the client; conducts the planning and utilization of a program of purposeful activities; implements the development and ... utilization of a treatment program, and/or consultation with the...rendered on the prescription or referral of a physician, nurse practitioner or other health care provider acting within… more
- CenterLight Health System (Ridgewood, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
- FlexStaff (New York, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
- Molina Healthcare (Rochester, NY)
- **Job Summary** **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** Provides ... claims data to ensure appropriate payment levels, optimize resource utilization , and maintain compliance with state and federal laws....focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject… more
- STG International (Watertown, NY)
- …* Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... and orientation of clinical staff physicians, physician assistants and nurse practitioners. * Collaborate with the CBOC Clinic Manager...61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps -… more
- STG International (Kingston, NY)
- …+ Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... and orientation of clinical staff physicians, physician assistants and nurse practitioners. + Collaborate with the Clinic Manager to...61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps -… more
- BronxCare Health System (Bronx, NY)
- …the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and ... - Assists the Administrative Manager and Director with annual review and revisions of departmental policies, and procedures as...electronic database system. -The Appeal Manager should be a nurse who has 3-5 years or more of experience… more
- Albany Medical Center (Albany, NY)
- …the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may provide ... or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests...facilitates call-backs to patients as necessary + Facilitates the utilization of resources to meet patient outcomes and contribute… more
- UHS (Johnson City, NY)
- …and accountability through Just Culture principles. This role collaborates with nurse managers, physicians, and administrative leaders to lead strategic planning, ... in professional organizations locally, regionally or nationally. + Promote utilization of specialty knowledge from the standards of specialty...or HealthCare related field. + New York State Registered Nurse License or eligible + Five (5) years of… more
- WMCHealth (West Nyack, NY)
- …needs assessment performed by the Care Manager through extensive medical record review , face to face and/or telephonic encounters with assigned patients and families ... begins palliative care consultations. . Develops and collects data; analyzes utilization of health care resources, including interpretation and application to case… more