- Molina Healthcare (Rochester, NY)
- …to synthesize complex information. **PREFERRED QUALIFICATIONS:** + **5+ years Clinical Nursing experience, including hospital acute care /medical experience ... expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors… more
- Option Care Health (Orchard Park, NY)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining ... patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion… more
- City of New York (New York, NY)
- …community engagement. Job Duties and Responsibilities: - Respond to hospital reports and review clinical material to determine if individuals referred to NYC ... that provide mental health treatment, psychiatric rehabilitation, supportive housing, care coordination and advocacy services and operating court-mandated Assisted… more
- Molina Healthcare (Albany, NY)
- …field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). **Preferred Experience** 3-5 years clinical practice with managed … more
- Nuvance Health (Poughkeepsie, NY)
- …health care provider review . 2. Review patient schedule with health care provider and plan for clinical day. 3. Helps to prepare, maintain, ... teaching, health counseling, and provision of supportive and restorative care under the direction of a licensed health ...problems to appropriate resource. 12. Transfer to the appropriate clinical staff, clinical patient calls, and reviews.… more
- Nuvance Health (Poughkeepsie, NY)
- …health care provider review . 2. Review patient schedule with health care provider and plan for clinical day. 3. Helps to prepare, maintain, ... teaching, health counseling, and provision of supportive and restorative care under the direction of a licensed health ...problems to appropriate resource. 12. Transfer to the appropriate clinical staff, clinical patient calls, and reviews.… more
- Molina Healthcare (Albany, NY)
- …(HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the ... and other performance indicators. + Collates and reports on Care Access and Monitoring statistics including plan ...Health or related field. **Preferred Experience** + 5 years clinical practice with managed care , hospital nursing… more
- CenterWell (Hauppauge, NY)
- …you to sit on-site at our Hauppauge, NY branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient services provided ... therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). + Monitors cases...+ Assesses staff education needs based on own the review of clinical documentation in addition to… more
- Pfizer (New York, NY)
- …and interpretation of clinical study results. + In accordance with the Safety Review Plan , performs and documents regular review of individual subject ... to establish, lead, coordinate, and execute the early oncology clinical development plan (s) for one or more...generally not serve in an official manager role, may review the work of others within the group or… more
- Pfizer (New York, NY)
- …of the development team to establish, lead, coordinate, and execute the early oncology clinical development plan (s). You will lead the development of the ... Global Development Lead (GDL) in the execution of the clinical development strategy and plan for the...all FIH programs through proof-of concept + Set the clinical data review strategy, ensure quality data… more