- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- … committee etc. - Projects as assigned by the Chief of PLMS- Review appropriate clinical history/medical record when responsible for autopsy coverage and ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Mount Sinai Health System (New York, NY)
- …needs: * Records, reports, and interprets the client's responses to the plan of care . 11. Performs a patient record review with the collaborating physician in ... prescribes medication regimens, interprets findings and alters plan of care according to accepted standards of care ...and other health team members. 7. Participates in peer review . 8. Incorporates research findings in clinical … more
- Elevance Health (New York, NY)
- …of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation ... ** Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery**...practice nurses regarding established guidelines and accepted standards of care as it relates to treatments, surgical procedures, imaging… more
- Guthrie (Binghamton, NY)
- …accountability and autonomy in nursing practice. E. Acts as a resource regarding clinical , administrative aspects of patient care , collaborating with the Vice ... Clinical Coordinators, meeting on a regular basis to review goals, needs, and expectations for managing the unit...as an advocate for patients and family in the clinical management of care . C. Effectively promotes… more
- Evolent (Albany, NY)
- …healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong ... (FDA), and various prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical… more
- CVS Health (New York, NY)
- …to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise and business ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care... clinical quality and effective use of health care resources. **This is a remote based (work at… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …HCAP Care transitions Hospital Rating Hospital wide readmissions Mortality Utilization of Clinical Pathways Development of performance improvement priorities ... of care . Duties may include, but are not limited to: Clinical Care of Medical Inpatients: Academic Hospitalist/Running Daily Interdisciplinary Rounds… more
- Novo Nordisk (Ithaca, NY)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... health centers, HCPs and other stakeholders in a given geography. Utilizing approved clinical resources to support provider efforts to deliver appropriate care … more
- Rochester Regional Health (Rochester, NY)
- …York State. * Basic Life Support (BLS) certification PREFERRED QUALIFICATIONS + Acute care , chart review , utilization , or nursing triage experience strongly ... Rochester General Hospital is a regional leader in cardiac care . With multiple recognitions from US News & World... clinical practice. * Completes at least one clinical research utilization (CRU) form for submission… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …II, Appendix G. The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... of the Health Administration Service. Performs clerical work in support of the care given to patients, such as receiving patients or maintaining patient files; work… more