- Stony Brook University (Commack, NY)
- …improvement and monthly/quarterly outcome reporting. + Conduct regular drug utilization reviews (DUR), controlled substance audits, prescriber reviews and other ... and other formulary rules. + As a designee for the Director, review prior authorizations in accordance with Program criteria. Ensure all formulary protocols… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... the phone. When consults are in a "scheduled status", the Advanced MSA will: Review the Vista Image Display to determine, If the records have previously been… 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 participate in the recruitment, and orientation of clinical staff physicians, physician assistants and nurse practitioners. * Collaborate with the CBOC Clinic… 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 participate in the recruitment, and orientation of clinical staff physicians, physician assistants and nurse practitioners. + Collaborate with the Clinic Manager… more
- 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
- BronxCare Health System (Bronx, NY)
- …electronic format. Collaborating with the Department Denial and Appeals Coordinators, Physician Advisors, and the clinical staff, the Appeal Manager is responsible ... the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and… more
- WMCHealth (Kingston, NY)
- …the patient information from the Philips Azurion 7 M20 to ISCV for Physician review . + Effective communicator with colleagues and providers regarding the ... clinical patient care experience involving cardiac cath laboratory procedures and utilization of related specialized equipment preferred. EDUCATION + A high school… more
- Glens Falls Hospital (Glens Falls, NY)
- …condition that may necessitate treatment change and will attend regular case review meetings. The Care Manager will work closely with the Interdisciplinary Team ... to ensure appropriate utilization and provision of resources for patients including referrals...coordination for the patients who seek services within the physician practices of Adirondack Medical Services * Conduct Pre-Visit… more
- Sedgwick (Albany, NY)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- Pfizer (New York, NY)
- …in order to develop contract proposals and agreements that maximize product utilization and profitability while ensuring compliance with all laws and regulations, ... 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