- Rochester Regional Health (Rochester, NY)
- …necessity in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization, performing continued stay ... (Interqual) to assign patient to the appropriate level of care ; identifies clinical resources required to achieve...continuum. + Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care… 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
- Ankura (New York, NY)
- …in a variety of specialties, settings, and provider types + Minimum 10 years' health care experience related to clinical care , clinical documentation, ... founded on innovation and growth. Practice Overview: Ankura's Health Care team is a recognized leader in health ...matters during due diligence. We serve as the Independent Review Organization and Quality Monitorship for many clients, and… more
- Stony Brook University (Stony Brook, NY)
- …from prior and ongoing clinical investigations and integrates information into the clinical care plan. + Carries out treatment plans with clinically sound ... meet regulatory requirements for reimbursement and accurately communicates the clinical care provided. + Provides education to...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Mount Sinai Health System (New York, NY)
- …of the health care team in the development, implementation, and ongoing review of policies, procedures, and standards of care for designated patient ... **Job Description** The Institute for Critical Care Medicine (ICCM) was established to advance the...addition, ICCM provides essential support services to patients and clinical teams across both inpatient and outpatient settings. As… more
- UHS (Johnson City, NY)
- …strong communication skills and a thorough understanding of insurance requirements. You'll review clinical documentation to confirm it meets agency and payer ... UHS, we believe every connection matters-including the one between clinical care and coverage. Primary Department, Division,...+ Previous experience in data processing + Certified home care and/or utilization review work experience Why… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and patient. Obtains medical records to assist with scheduling or coordination of clinical care . Uploads and/or scans medical records and reports into electronic ... and the flexible use of a wide range of clinical flow processes relating to access to care... care delivery model. Coordinates with the patient care team to review clinic appointment availability… more
- Mount Sinai Health System (New York, NY)
- …West (MSW) and Mount Sinai Morningside (MSM) Hospitals, with a history rich in clinical care , clinical research and teaching, seeks a full-time Infectious ... Infectious Diseases + Commitment to the highest quality of clinical care Compensation range from 230K to...and limiting length of stay + Participate in Peer Review process **About Us** **Strength through Unity and Inclusion**… more
- University of Rochester (Rochester, NY)
- …the implementation of several complex-NIH funded research trials. - Coordinate clinical care delivery between participants and healthcare providers, school ... Certification in Asthma Education (AE-C(R)), as well as advanced knowledge of guideline-based clinical asthma care preferred. - Minimum 1 year of relevant… more
- Planned Parenthood of Greater New York (New York, NY)
- …When you join PPGNY as a Registered Nurse (RN), you will provide direct clinical care across a full spectrum of sexual and reproductive health services, ... care . ESSENTIAL JOB DUTIES AND RESPONSIBILITIES SRH Clinical Care and ICA Patient Care...to perform frequent work on a computer screen and review printed reports and other materials. Requires the ability… more