- Crouse Hospital (Syracuse, NY)
- …requirements related to acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical, Dental, Vision, FSA, ... day management of the RN Care Managers in the department, including Utilization Management, Discharge Planning and Denials and Appeals functions. + Assessing… more
- New York State Civil Service (New York, NY)
- …and clinical staff on health information management requirements.* Conducting audits for utilization review activities and reporting deficiencies to the ... Utilization Review Committee.* Implementing corrective actions as determined by internal and external audit findings.* May supervise Health Information Management… more
- Stony Brook University (Stony Brook, NY)
- …the department's requirements. + **Purchasing & Contracts Management:** + Review , develop, negotiate, process, and administer complex contracts, agreements, purchase ... support work for contractual and bidding transactions as necessary. + Review , enforce, and revise (where/when appropriate) specifications for all assigned contracts.… more
- Molina Healthcare (Yonkers, NY)
- …rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting. + ... and other statistical methodologies to predict future trends in cost, utilization , and performance. + Assist with research, development and completion of… more
- Mohawk Valley Health System (Utica, NY)
- …scheduling records. + Participates in agency meetings and the quality improvement and utilization review activities of the organization. + Follows all state, ... records. + Participates in agency meetings and the quality improvement and utilization review activities of the organization. + Follows all state, system and… more
- LSI Solutions (Victor, NY)
- …by analyzing equipment layouts, workflow, assembly methods, and work force utilization . ESSENTIAL FUNCTIONS: Production Engineer I, II, III: + Provide technical ... of manufacturing processes within production; creates project plans, performs utilization studies, identifies capacity needs and constraints, and makes… more
- Healthfirst (NY)
- …Provide strategic oversight and operational management for all utilization management functions, including prior authorization, concurrent review ... for audits, performance improvement plans, and corrective actions related to utilization management Foster a culture of accountability, professional development, and… more
- Catholic Health Services (West Islip, NY)
- …HAC Meeting, Hospital Performance Improvement and Patient Safety Committee, and Utilization Management Committee. + Participate in the development and furthering of ... for Risk Management activities and processes, such as Root Cause Analyses, to review and monitor the quality of care provided to patients and improve outcomes.… more
- Molina Healthcare (Syracuse, NY)
- …analysts on software applications, business domain and design standards. *Conducts peer review of other analysts (internal and contract staff) to ensure standards ... Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of business among… more
- BronxCare Health System (Bronx, NY)
- …the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and ... completing job tasks. -Assists the Administrative Manager and Director with annual review and revisions of departmental policies, and procedures as required. -When… more