- Evolent (Albany, NY)
- …(FDA), and various prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical ... in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. +… more
- WMCHealth (Kingston, NY)
- …duties as needed. QUALIFICATIONS/REQUIREMENTS EXPERIENCE + Minimum of 2 years of clinical patient care experience involving cardiac cath laboratory procedures ... Details: The Hemodynamic Technician is responsible for performing technical and patient care treatment activities under the direct supervision of the medical and … more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …of duties, timely requests for leave in VISTA and for clinic cancellations. Clinical Management including indirect patient care : open encounter & open consult ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- City of New York (New York, NY)
- …community groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. BPHC seeks to hire a ... BPHC provides direct clinic services to people seeking health care ; monitors disease trends; provides education and training to...DUTIES WILL INCLUDE BUT NOT BE LIMITED TO: - Review with patient their reason for visit and continue… more
- Stony Brook University (Commack, NY)
- …other duties as assigned **Qualifications** **Required Qualifications:** Associate's degree in a non- clinical Health Care related field such as HIM, Health ... or more years of facility outpatient procedure coding experience. Bachelor's degree in a non- clinical Health Care related field such as HIM, Health Sciences, or… more
- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a...you ready to make a meaningful impact on patient care in a non- clinical setting? Join our… more
- Rochester Regional Health (Rochester, NY)
- …specialists, and a high-performing executive team to elevate patient outcomes, drive clinical advancements, and ensure world-class, compassionate care for every ... program in the region. + Recognized by Becker's Hospital Review as one of the Top 100 Health Systems...+ Expand access to advanced treatments and specialized oncology care . + Enhance clinical excellence, patient navigation,… more
- Amgen (New York, NY)
- …in the public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales OR Master's degree AND 6 years of ... in the public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales OR Bachelor's degree AND 8 years of… more
- CenterWell (Albany, NY)
- …and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience +… more
- New Horizon Counseling Center (Brooklyn, NY)
- …develop their skills in managing complex cases and addressing client needs. + Conduct clinical case reviews and assist care managers with developing effective ... clinical interventions and care plans + Support team members in overcoming challenges,...Review and lock progress notes, assessments, and client care plans + Manage team schedules, case assignments, and… more