• Advanced Medical Support Assistant

    Veterans Affairs, Veterans Health Administration (Oneonta, NY)
    …and management occur, except during staff shortages for coverage. Performs daily review of active/pending consults, physician encounters, EWL, Recall Reminder ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules… more
    Veterans Affairs, Veterans Health Administration (08/02/25)
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  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Jamaica, NY)
    …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible ... for strong Director and physician relationships and facilitating staff relationships with physicians. +...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
    Fresenius Medical Center (07/17/25)
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  • Financial Analyst- ONSITE

    WMCHealth (Hawthorne, NY)
    …AR, payor mix, billing throughput and other performance statistics. + Physician and Mid-level provider productivity, utilization , patient referrals, ... software systems and data filing systems and processes. + Prepare and review budget, revenue, expense, payroll entries, invoices and other accounting documents. +… more
    WMCHealth (06/17/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Yonkers, NY)
    …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... concurrent review , discharge planning, case management and interdisciplinary care team...as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer… more
    Molina Healthcare (06/13/25)
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  • Per Diem - Behavioral Health Specialist

    Stony Brook University (Stony Brook, NY)
    …with team, monitors mental status and reports progress or changes routinely to nursing/ physician staff. + Takes a primary role in maintaining a safe, therapeutic ... interventions, restraint/seclusion, behavior plan development and safety plan development, utilization and monitoring. + Conducts a variety of patient...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
    Stony Brook University (06/04/25)
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  • Registered Nurse Case Manager

    Northwell Health (Manhasset, NY)
    …164706 Job Description Serves as liaison between the patient and facility/ physician . Ensures a continuum of quality patient care throughout hospitalization and ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
    Northwell Health (08/08/25)
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  • Director, Surgical Services - Operating Room…

    Guthrie (Binghamton, NY)
    …leadership role in staffing and scheduling of personnel, considering appropriate utilization of personnel, scope of practice, competencies, patient needs and ... collaborative relationship with Clinical Coordinators, meeting on a regular basis to review goals, needs, and expectations for managing the unit on a 24/7… more
    Guthrie (08/02/25)
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  • Internal Medicine Health & Science System…

    Pfizer (Albany, NY)
    …Sales responsibilities include relationship development with aligned and affiliated physician targets, KOLs, pharmacists, transition of care advocates, quality ... of strong leadership, cross functional leadership, collaboration, and effective utilization of available resources to drive performance. * Strong organizational… more
    Pfizer (07/31/25)
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  • Compliance Analyst, 340B Program ( On-Site )

    WMCHealth (Valhalla, NY)
    Compliance Analyst, 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... as an internal liaison to key stakeholders, ensuring proper utilization of the 340B program and compliance with all...to verify compliance with HRSA and internal policies. + Review and monitor all points of 340B participation, including… more
    WMCHealth (07/26/25)
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  • RN Care Coordinator PCMH (Patient Centered Medical…

    Guthrie (Corning, NY)
    …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... for all identified patients. + e. Collaborates with patient, physician , and other care team members in assessing the...Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York… more
    Guthrie (07/25/25)
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