- UHS (Norwich, NY)
- …Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management, supplies, and services + Complies ... Unit Council, participating in improvement initiatives, and contributing to peer review practices + Actively engages in professional development, continuing nursing… more
- Fresenius Medical Center (New York, NY)
- …instructions. + Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. + Developing and communicating efficient and ... regulations. + Develops and maintains strong Medical Director and physician relationships, facilitating staff relationships with physicians, and ensuring regular… more
- CDPHP (Latham, NY)
- …care pharmacy principles including prior authorization reviews, formulary management, and utilization review preferred. + Experience with Microsoft Office, ... for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality… more
- Elevance Health (Latham, NY)
- …plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates ... providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires BA/BS in… more
- Veterans Affairs, Veterans Health Administration (Bath, NY)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability/ utilization to ensure that clinic schedules are ... clinicians across multiple disciplines eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and… more
- Bassett Healthcare (Cooperstown, NY)
- …Bassett Healthcare Network. This clinical position works in conjunction with the physician and/or staff and has the authority to prioritize bed allocation resources ... (patient requiring a bariatric bed, special equipment, interpreter svc, etc.). + Review previous patient history and updates CL with key patient attributes… more
- Pfizer (New York, NY)
- …generated from these studies will be used to inform vaccine recommendations, utilization of licensed vaccines and the development and licensure of future vaccines, ... received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- Cognizant (Albany, NY)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding, billing, and medical terminology, CPT, HCPCS, ICD-9… more
- UHS (Johnson City, NY)
- …sterilization. + Ensures that patient equipment is in appropriate working order for utilization in direct care. + Ensures that sterility and aeration is achieved, ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- New York State Civil Service (Ridge, NY)
- …2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * Please note that starting ... 3 (and all parenthetics), Nurse Practitioner (and all parenthetics), Physician Assistant, Psychologist 1, Psychologist 2, Rehabilitation Counselor 1, Rehabilitation… more
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