- Bassett Healthcare (Cooperstown, NY)
- …other provider) on medical necessity criteria to address all discrepancies Complete initial clinical review in electronic medical record (EMR) and follow the ... professionally and apply knowledge and skills necessary to provide care appropriate to each patient. Clinical and...bed request priorities Communicates with patients and families about plan of care and discharge goals Provides… more
- Surgery Care Affiliates (Bronx, NY)
- Overview At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every ... As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for...we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork… more
- Mount Sinai Health System (New York, NY)
- …(appropriate) discharge planning. 9. Interacts with patient/family to discuss plan of care and coordination of services based on clinical needs and available ... and continued stay, assist in the development of the plan of care ; ensure that the ...the clinical information requested by the managed care companies as part of the concurrent review… more
- New York State Civil Service (Albany, NY)
- …the College Savings Plan .* Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees ... Office for Title Chief of Medical Services Occupational Category Health Care , Human/Social Services Salary Grade 668 Bargaining Unit M/C - Managerial/Confidential… more
- New York State Civil Service (Vestal, NY)
- …Developmental Disabilities, Office for Title Psychologist 1/2 Occupational Category Health Care , Human/Social Services Salary Grade 21 Bargaining Unit PS&T - ... as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; *… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases, Quality of Care cases, clinical ... evidence-based medicine skills are such that the individual provides review oversight for a broad array of clinical...Leads, develops, directs and implements clinical and non- clinical activities that impact health care quality… more
- Prime Care Coordination (Webster, NY)
- …and medical related services to individuals, and consultation to staff regarding health care related matters, and other Individual Program Plan (IPP) components ... established policy and procedure + Assure and monitor health care services in accordance with Agency and program policy...notify the appropriate staff of any discrepancies. Secure physician review and sign off orders quarterly + Fulfill all… more
- Pfizer (New York, NY)
- …for review , assessing organizational capabilities and feasibility, and providing clinical relevance to proposed HIT methodologies + Analyze workflows in the ... role are to contribute to Pfizer's ability to (a) Plan and execute Oncology Medical strategy and engagement for...context of clinical healthcare information systems to facilitate care … more
- Catholic Health Services (Roslyn, NY)
- …with other medical disciplines to ensure patient throughput across the CHS care continuum. Perform Neurosurgical Evaluations & perform clinical responsibilities ... radiologic studies. Perform approved therapeutic or diagnostic procedures based upon patient's clinical status. Formulate and implement a treatment plan for… more
- Humana (Albany, NY)
- …participate in meetings involving care management, provider relations, quality of care , audit, grievance and appeal and policy review . The Behavioral Health ... healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical ...board certified in Psychiatry** + 5+ years of direct clinical patient care experience post residency or… more