- Guthrie (Binghamton, NY)
- …Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for ... (ie ACLS, PALS, etc.). Maintains competence at the expert level in clinical practice. Flexibility in scheduling is required for meeting the educational needs… more
- Kaleida Health (Buffalo, NY)
- …and procedures as well as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and ... **Director Clinical and DRG Denials** **Location:** Larkin Bldg @...5 years of experience in a large, complex acute care setting in a supervisory / administrative role required.… more
- Kaleida Health (Buffalo, NY)
- …Type** **: Full-Time** **Shift 1** **Job Description** **Collaborates with the physician advisor team on, but not limited to, clinical documentation education, ... **Manager Clinical Engineering** **Location:** **Buffalo General Medical Center** **Location...and monitoring against Service Level Agreements in a health care environment.** **Working Conditions** **Essential:** Weight Requirement - Light… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP No Agency Addiction Services and Supports, Office of Title Clinical Physician 1 or 2 - HOURLY (Kingsboro ATC) Occupational Category Health Care , ... The incumbent will perform the following general duties:*Oversee medical care provided to patients; obtain medical histories, perform physical examinations,… more
- New York State Civil Service (Bronx, NY)
- NY HELP No Agency Addiction Services and Supports, Office of Title Clinical Physician 1 or 2 (Hourly - Bronx Addiction Treatment Center) Occupational Category Health ... Care , Human/Social Services Salary Grade Hourly Bargaining Unit PS&T...evenings, weekends, and during off hours.4. Serve as health advisor to multi-disciplinary team; provide consultation/peer review to other… more
- Northwell Health (Melville, NY)
- …and facility/physician and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor ... , payor representative and site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the direction of the Manager of LTC Benefits, the LTC Benefits Planner (Personal Care Advisor ) has the responsibility of evaluating and managing those Insureds ... that are accessing their benefits based on their need for long-term care services. This includes ongoing evaluation of the Insured's eligibility for benefits,… more
- Rochester Regional Health (Rochester, NY)
- …objective criteria (Interqual) to assign patient to the appropriate level of care ; identifies clinical resources required to achieve optimal patient outcomes ... of care and medical necessity in the Care Management Data base to support the clinical...Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care based… more
- Northwell Health (Staten Island, NY)
- …group work services to patients and/or their families in various health care settings. Utilizes psychosocial assessment skills to deliver social work services. ... on behalf of the individual to ensure maximum access to health care , assesses barriers and offers solutions. 4.Provides interdisciplinary team with assessment… more
- Northwell Health (Forest Hills, NY)
- …oversees and evaluates the appropriateness of care across the acute care continuum. Applies clinical expertise and medical appropriateness criteria to ... care plan and discharge plan are consistent with the patient's clinical course, continuing care needs and covered services.Conducts a case management… more