- Northwell Health (Staten Island, NY)
- …promote adherence, and decrease adverse drugs events. + * Complies with Utilization Review Accreditation Commission (URAC) accreditation to complete and document ... Initial Assessments, Re-Assessments, Care Plans, and Clinical Interventions. + * Maintains records and inventory of medications.Maintains records of transactions and delivery. + * Provides clinical pharmacy services, including immunizations, etc to… more
- Guardian Life (New York, NY)
- …contracted and rental providers, optimizing for competitive position/size, traffic and utilization , and net effective discount. + Partner with leaders and key ... for decision-making. + Be responsible for preparing monthly network operating review content for senior leadership that highlights key performance indicators and… more
- Abbott (New York, NY)
- …with industry competitor). + Achieves or exceeds expectations in most recent performance review . + Requires an average of 15+ cases a month for 6-12 consecutive ... 3 complex cases over last 6 months). + Demonstrate ability to increase utilization of Abbott Advanced Mapping and Ablation Tools. + Complete monthly sales activities… more
- Heritage Ministries (Greenhurst, NY)
- …in the organization's commitment to its employees, residents, and larger community. + Review monthly facility operating and budgetary statements + Ensure the proper ... utilization of all established insurance providers and financial resources provided to the facility or the residents housed therein. These include but are not limited… more
- WMCHealth (Valhalla, NY)
- …of the procedures specified in the Clinical Care Management Department through review of the Utilization and Discharge Planning Program at Westchester ... Medical Center. Administrative supervision is exercised over a number of Case Management Staff within the primary areas of responsibility. Responsibility includes operational activities on a twenty-four hour, seven-day a-week basis. Supervision and training… more
- New York State Civil Service (Staten Island, NY)
- …State NY Zip Code 10305 Duties Description * Interview clients and review medical/psychiatric history, and complete various assessments as part of treatment plan ... members regarding social adjustment, discharge service needs, and the effective utilization of community services.* May provide individual, group, and family… more
- Cognizant (Albany, NY)
- …+ Manage escalations and balance client responsiveness with optimal resource utilization . + Ensure team activities are prioritized and resources are efficiently ... including status reporting, priority setting, and timely issue resolution. + Review project deliverables for quality assurance and actively seek stakeholder feedback… more
- KeyBank (Buffalo, NY)
- …Educate and provide consultative advice on assigned regulations. + Provide independent review and challenge on various line of business activities. + Participate in ... level of attention to detail. + Desire for continuous learning, including utilization of technology for increased efficiency. COMPENSATION AND BENEFITS This position… more
- Highland Hospital (Rochester, NY)
- …information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and ... identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests **Salary Range:** $19.62 -… more
- Healthfirst (NY)
- …out of home placement, and//or community-based services and may be called upon to do Utilization Review for those services + Develops care plans that align with ... the physicians treatment plans and recommends interventions that align with proposed goals + Completes social determinant of health assessments to identify barriers and opportunities for intervention + Generates referrals to providers, community-based… more
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