Clinical Utilization Specialist
5 days ago
We are seeking a skilled Clinical Utilization Specialist to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the efficient and effective delivery of patient care.
Key Responsibilities- Conduct thorough utilization reviews to identify opportunities for improvement in patient care and resource utilization.
- Collaborate with healthcare teams to develop and implement effective care plans that meet the unique needs of each patient.
- Apply MCG criteria to monitor the appropriateness of admissions and continued stays, and document findings in accordance with departmental standards.
- Identify areas for clinical documentation improvement and work with the quality department to implement changes.
- Monitor length of stay and ancillary resource use, taking proactive steps to achieve continuous improvement in both areas.
- Communicate with payors to resolve issues and ensure timely reimbursement for services.
- Participate in quality screens to identify potential issues and forward information to the quality department.
- Registered nurse with a New York State current license.
- Bachelor's degree preferred.
- Minimum of three years clinical experience in an assigned service.
- Recent experience in case management, utilization management, and/or discharge planning/home care in a high-volume, acute care hospital preferred.
- Case Management certification preferred.
Albany Medical Center is a leading healthcare provider in the Capital Region, dedicated to delivering high-quality patient care and advancing medical research and education.
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Clinical Utilization Review Specialist
4 hours ago
Slingerlands, United States Albany Medical Center Full timeJob SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the highest quality patient care while optimizing resource utilization.Key ResponsibilitiesConduct thorough utilization reviews to identify...
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Clinical Utilization Review Specialist
2 weeks ago
Slingerlands, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the quality and efficiency of patient care.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement...
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Clinical Utilization Specialist
6 days ago
Slingerlands, United States Albany Medical Center Full timeJob SummaryWe are seeking a skilled Utilization Review Nurse to join our Care Management team at Albany Medical Center. As a key member of our team, you will be responsible for ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in patient care and...
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Manufacturing Production Specialist
3 weeks ago
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Manufacturing Production Specialist
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Manufacturing Production Specialist
3 weeks ago
Slingerlands, United States NESCO Inc Full timeNesco Resource is proud to collaborate with a leading manufacturer in the Albany, NY region. We are actively seeking skilled candidates for their Electrical Assembly and Production teams. Individuals with a background in manufacturing and a mechanical or technical aptitude are highly encouraged to consider this opportunity. Our client is also open to...
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Senior Orthopedic Nurse
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Executive Support Associate
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Advanced Practice Registered Nurse
1 week ago
Slingerlands, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center is seeking a highly skilled and experienced Nurse Practitioner to join our team in the Anesthesiology Department. As a key member of our interdisciplinary team, you will be responsible for providing high-quality patient care, managing acute pain services, and collaborating with healthcare providers to ensure seamless patient...