- Healthfirst (NY)
- …institution or equivalent work experience** **NYS RN** **Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care ... concurrent review, and service requests** **Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social workers,… more
- CenterWell (Albany, NY)
- …and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization… more