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Highmark Health
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Albany, New York
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. Provides oversight over a specified panel of members that range in health status/severity and clinical ... conjunction with professional clinical judgement to identify the right clinical intervention for each member
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Highmark Health
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Albany, New York
...
. Provides oversight over a specified panel of members that range in health status/severity and clinical ... conjunction with professional clinical judgement to identify the right clinical intervention for each member
...
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Highmark Health
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Albany, New York
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implements effective utilization management strategies including: review of appropriateness of health care ... /or alternatives.
ESSENTIAL RESPONSIBILITIES
Implement care management review
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Highmark Health
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Albany, New York
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with review of patient status and plan of care.
Directing and organizing ancillary care as ... the home setting.
Implements current nursing practices.
Patients’ clinical assessments are
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Highmark Health
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Albany, New York
...
with review of patient status and plan of care.
Directing and organizing ancillary care as ... the home setting.
Implements current nursing practices.
Patients’ clinical assessments are
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Highmark Health
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Albany, New York
...
accordance with the highest and most current clinical standards. The incumbent reviews escalated cases ... all times. In addition to utilization review, the incumbent participates as the physician member of
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Highmark Health
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Albany, New York
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, utilization management programs, and disease management initiatives.
Provide clinical review and ... review; develops and implements the Organization's management programs including but not limited to
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Highmark Health
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Albany, New York
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management for our community-based palliative care program. In addition, this role will provide clinical ... projects and engagement with process improvement. The role includes recognizing clinical gaps and
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