- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review Clinical Review (CR) 3 Team Lead will assist the Director of UR and Associate Director of UR with daily staff ... experience is required. Must possess comprehensive and broad knowledge of complex clinical and medical concepts and demonstrate overall proficiency in clinical … more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: This Utilization Review Denials Review Unit (DRU) 3 Team Lead will assist the Director of Utilization Review and the Associate Director ... of Utilization Review with daily staff mentoring, leadership and resource provision....required. Must possess comprehensive and broad knowledge of complex clinical and medical concepts and demonstrate overall proficiency in… more
- Helio Health Inc. (Syracuse, NY)
- …referring to the medical provider those that require additional expertise. + Review clinical information for concurrent reviews, extending the length of ... preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care setting. +… more
- Trinity Health (Syracuse, NY)
- …**Description:** $10,000 NEW HIRE SIGN ON BONUS **Position Purpose:** The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) actively ... manages the utilization review process and patient progression from Admission to Discharge....works collaboratively with unit staff and support team (RN, Physician/ Clinical Affiliate, DPA, MSW, CDI, Rehab Services, etc.) to… more
- Guthrie (Cortland, NY)
- Position Summary: This is an integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for ... years of experience in an acute care setting with strong case management, utilization review and payer knowledge. Case Management certification is encouraged… more
- Crouse Hospital (Syracuse, NY)
- …related to acute care discharge planning. + Preferred: + Acute care utilization review experience. + Previous leadership experience. + SPECIAL SKILLS/EQUIPMENT ... achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to...+ Working knowledge of MS Office. Expert knowledge of clinical review criteria such as InterQual, Milliman… more
- The Grand Rehabilitation & Nursing (Rome, NY)
- …well as the relationships with other departments. + Conducting new staff orientation, review of care management, intake, and utilization management activities & ... Trainer programs to the company's strategic partners. + Conducting quality review audits of clinical team and strategic partners to ensure that company protocols… more
- Planned Parenthood of Central and Western NY (Syracuse, NY)
- …regulations as well as having a clear understanding of laws impacting utilization management of credentialing for government health plans as well as auditing ... under their respective delegated credentialing agreements. + Works collaboratively with Clinical Services and Human Resources to develop and implement seamless… more
- SUNY Upstate Medical University (Syracuse, NY)
- …accurate attendance and therapy records. Interfaces with nursing, medical staff, utilization review social services, discharge planner, therapy team to ... other departmental activities. Functions under general supervision of a coordinator/ Clinical Director. Minimum Qualifications: Masters Degree in Art Therapy.… more
- Trinity Health (Syracuse, NY)
- …communities. Vision: .To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: .In the spirit of good _Stewardship,_ we heal ... . Completes and properly submits performance appraisals by established review date. . Demonstrates evidence of utilizing appropriate disciplinary action(s)… more
- SUNY Upstate Medical University (Syracuse, NY)
- …reports. Schedules patients, and keeps attendance and therapy records. Interfaces with utilization review social services, discharge planner, and therapy team to ... departmental activities. Functions under the general supervision of a coordinator/ Clinical Director. Minimum Qualifications: Bachelor's degree in Recreational Therapy… more