• Physician Support Rep III

    University of Rochester (Rochester, NY)
    …time and effort of providers. + Finds missing orders and sends them for review and approval. + Anticipates needs of insurance companies by gathering all necessary ... the provider's patient notes. + Composes, edits, and obtains signatures for non -routine letters of correspondence related to appeals on denied claims, including… more
    University of Rochester (07/31/25)
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  • Regional Physician Support Rep III

    University of Rochester (Rochester, NY)
    …time and effort of providers. + Finds missing orders and sends them for review and approval. + Anticipates needs of insurance companies by gathering all necessary ... on provider's patient notes. + Composes, edits and obtains signatures for non -routine letters of correspondence related to appeals on denied claims, including… more
    University of Rochester (07/22/25)
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  • Physician Support Representative

    University of Rochester (Rochester, NY)
    …time and effort of providers. + Finds missing orders and pends them for review and approval. + Anticipates needs of insurance companies by gathering all necessary ... on provider's patient notes. + Frequently composes edits and obtains signatures for non -routine letters of correspondence related to appeals on denied claims. + This… more
    University of Rochester (07/19/25)
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  • Physician Support Rep III

    University of Rochester (Webster, NY)
    …time and effort of providers. Finds missing orders and sends them for review and approval. Anticipates needs of insurance companies by gathering all necessary ... on the provider's patient notes. Composes, edits, and obtains signatures for non -routine letters of correspondence related to appeals on denied claims, including… more
    University of Rochester (07/14/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …and effort of the provider. Finds missing orders and pends them for review and approval. Anticipates needs of insurance companies by gathering all necessary ... + Manages provider documentation and information. Composes and types non -routine correspondence providing factual information. + Arranges travel, conference… more
    University of Rochester (07/07/25)
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  • RN Utilization Review - System Care…

    Guthrie (Binghamton, NY)
    Provides health care services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service ... Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non -profit, integrated, practicing physician -led organization in the Twin Tiers of New… more
    Guthrie (07/05/25)
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  • Medical Director, Commercial Line of Business

    Excellus BlueCross BlueShield (Rochester, NY)
    …case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases, ... case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides input into the utilization management… more
    Excellus BlueCross BlueShield (07/01/25)
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  • Chief Hospitalist & Director Inpatient Quality

    Veterans Affairs, Veterans Health Administration (Bronx, NY)
    …care for medical inpatients. General Management of Hospitalist Team: Review relevant Internal Medicine Service performance measures, OPPE/FPPE, performance pay, ... quality resident education through evidence-based medicine approach to patient care, case discussions and lectures. The Mount Sinai Internal Medicine Residency… more
    Veterans Affairs, Veterans Health Administration (06/14/25)
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  • Director of Care Management - Mount Sinai Queens…

    Mount Sinai Health System (Long Island City, NY)
    …The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate the case ... nursing or healthcare-related field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience....PACU; IR; Peds ICU, and APNs Pediatric Oncology depts.) Non -Bargaining Unit, 140 - Care Management - MSQ, Mount… more
    Mount Sinai Health System (07/24/25)
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  • Licensed Practical Nurse - Procedure Room

    Bassett Healthcare (Oneonta, NY)
    …the department manager and the clinical direction of the Registered Professional Nurse, Physician or Surgical PA, provides technical and clinical support to the team ... Recognizes legal implications of own actions, based on periodic review by supervisor. Adheres to universal protocol 100% of...exceptions per year. Cleans and readies room for next case efficiently to minimize turnaround time. Starts a … more
    Bassett Healthcare (07/16/25)
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