- CVS Health (Albany, NY)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST/CST zones… more
- Highmark Health (Albany, NY)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- Oracle (Albany, NY)
- …Vitals Collection (MVC), and Infusion Suite. As an Integrated Technologies Consultant II, you will be responsible for providing consulting implementation services ... These services include the integrated technology deployments of hardware, software, and clinical workflow consulting. As a member of the CareAware Device Integration… more
- Albany Medical Center (Albany, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... achieve maximum clinical and financial outcomes. The Case Manager participates in...assigned service - required + Recent experience in case management , utilization management and/or discharge… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration...of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical … more