- STG International (Auburn, NY)
- …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... STGi is currently seeking a Primary Care Physician to provide services at our Community Based...Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in of areas… more
- Mount Sinai Health System (New York, NY)
- …interprets the clients responses to the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. +… more
- Mount Sinai Health System (New York, NY)
- …interprets the client's responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. 4.… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Perform medical review activities pertaining to utilization review , quality ... + Assist the VPMA in the functioning of the physician committees including committee structure, processes, and membership. +...with respect to clinical issues and policies. + Identify utilization review studies and evaluates adverse trends… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization of… more
- Guthrie (Corning, NY)
- …of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and ... requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the hospital computer… more
- Mount Sinai Health System (New York, NY)
- …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day ... patient-centered care. **Qualifications** Must be a Licensed Registered Nurse, Physician Assistant or Nurse Practitioner Registered Nurse Bachelor?s Degree in… more
- Mount Sinai Health System (Long Island City, NY)
- …Description** The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate ... to influence other services by focusing on patient processes. 8.Develops and implements Utilization Review (UR) based on internal data collection, data received… more
- Rochester Regional Health (Rochester, NY)
- …as soon as possible after admission-within the first12 to 24 hours. Applies utilization review criteria to assess and document appropriateness of admission, ... is obtained and documented in the patient chart. Forward patient chart to physician for review when problems are identified. Intercedes with appropriate… more
- Mount Sinai Health System (New York, NY)
- …to enhance an interdisciplinary approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion but not less ... Title: Advanced Practitioner Provider Manager- Tisch Cancer Institute-Mount Sinai Hospital- Full Time - Day** The Advanced Practice Provider Manager-Nursing is… more