- Mount Sinai Health System (New York, NY)
- …Therapy Program Manager (RN/NP) - Outpatient Oncology - Mount Sinai Hospital - Full Time - Day** The program manager is responsible for coordination, and throughput ... 4. Reviews and performs patient service recovery 5. Consults with physician and nursing leadership according to established standards, policies, procedures, and… more
- Crouse Hospital (East Syracuse, NY)
- …- a OBGYN office with six providers and GYN office with one Physician . Plans, develops, organizes, monitors and manages all protocols and activities to improve ... patient access and care. Ensures efficient utilization of all resources. Provides leadership, supervision and motivation of all staff. Works collaboratively with all… more
- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all… more
- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Catholic Health (Buffalo, NY)
- …(the payers) and internal stakeholders including, but not limited to, Utilization Review , Case Management, Clinical Documentation Integrity, Health Information ... any other certification approved by management + Certification in a Nationally Recognized Utilization Review Criteria set is preferred EXPERIENCE + Minimum of… more
- University of Rochester (Rochester, NY)
- …welcoming to all and is a place where all can thrive. **Job Location ( Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 ... **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United… more
- Kaleida Health (Buffalo, NY)
- …conventions and insurance / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG denial management required. ... Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full -Time **Shift:** Shift 1 Job Description **Summary:** The Director, Clinical & DRG… more
- New York State Civil Service (Masonville, NY)
- …policy, treatment, and therapeutic programs, and serves on committees such as placement, utilization review , medical records review , and related committees, ... Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * If you are currently… more
- Rochester Regional Health (Rochester, NY)
- …+ Practices according to Agency and community standards + Participates in utilization review and/or continuous quality improvement activities as requested. + ... the patient (and their caregivers as applicable), in collaboration with the attending physician and other care team members + Manages and coordinates patient care,… more