- University of Rochester (Canandaigua, NY)
- …GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports the Medicaid Enrollment Department's standards of ... application. + They may accompany or represent the patient at eligibility interviews, case conferences or fair hearings + They possess the ability to independently… more
- Northwell Health (Lake Success, NY)
- …remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. ... 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8.Implements coding changes; demonstrates ability to relate coding… more
- Evolent (Albany, NY)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Deloitte (Jericho, NY)
- …for you! Recruiting for this role ends on 01/31/2026. Work you'll do + Review and sign individual tax returns + Review tax equalization calculations and ... + Certified Equity Professional (CEP) + Certified Employee Benefits Specialist (CEBS) + Certified Pension Consultant (CPC) + Certified...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …backgrounds and is able to evaluate his/her own practice through professional peer review , case conferences and other organizational means. The Program Manager ... the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Psychologist:… more
- Molina Healthcare (Albany, NY)
- …+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management ... the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or other specific program… more
- TD Bank (New York, NY)
- …at the enterprise, business, regulatory and industry levels + Senior specialist providing advisory services to executives, business segment leaders and governs ... identifying and implementing product features and enhancements, providing business case support of recommendations and assisting in the strategic development… more
- City of New York (New York, NY)
- …with HIV, as well as 8,000+ affected families. HASA provides intensive case management, rental assistance, emergency and permanent supportive housing, and assistance ... deadlines and goals. Exercises authority makes decisions with and without review of the Chief, in critical matters/situations and in the implementation/progress… more
- New York State Civil Service (Orangeburg, NY)
- …physical ability, and/or rehabilitative and clinical needs of individuals. * Review and evaluate program effectiveness and recommending program changes or ... specialized activities as needed.* Attend and participate in treatment plan review sessions providing input as relates to the program participants participation in… more
- University of Rochester (Rochester, NY)
- …of the patient and clinical risk assessment, collateral information and review of current/percent history of clinical presentations/services. The clinical evaluator ... crisis intervention and clinical support as indicated to the patient, and in the case of pediatric patients, their parent(s) or guardian, during the course of the… more