- University of Rochester (Rochester, NY)
- …+ Provide QA support to software set-up / model verification in the utilization of ClinPro LBL (TM) computerized clinical label generation system. Systems ... of a more complex nature within the Quality Assurance function of Clinical Materials Services Unit (CMSU). **ESSENTIAL FUNCTIONS** Quality Assurance Review … more
- EPI (Endicott, NY)
- …developmental disabilities, epilepsy, and brain injury through progressive, tailored care to improve their health, wellbeing, independence, and social inclusion. ... behavior documentation and relevant information for individuals assigned to caseload. + Review all behavior support plans and document no less frequently than… more
- University of Rochester (Rochester, NY)
- …of Medicare and other payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third party payers. + Maintain ... third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is… more
- STG International (Watertown, NY)
- …safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... health care system. + Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to… more
- UHS (Johnson City, NY)
- …in billing and clerical work + Previous experience in data processing + Certified home care and/or utilization review work experience Why You'll Love Working ... strong communication skills and a thorough understanding of insurance requirements. You'll review clinical documentation to confirm it meets agency and payer… more
- STG International (Kingston, NY)
- …Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... patients of the Veterans Affairs Medical Center (VAMC). This care will be delivered in accordance with the terms...of the CBOC and participate in the In the Clinical Quality Assurance Program. ESSENTIAL FUNCTIONS: + Provide vision… more
- Stony Brook University (Stony Brook, NY)
- …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... Case Manager** is a valuable member of our team, who provides clinical services to our patient population. Qualified candidates will demonstrate superior patient… more
- STG International (Watertown, NY)
- …Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... patients of the Veterans Affairs Medical Center (VAMC). This care will be delivered in accordance with the terms...effective operations of the CBOC and participate in the Clinical Quality Assurance Program. ESSENTIAL FUNCTIONS: * Provide vision… more
- Nuvance Health (Poughkeepsie, NY)
- …Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of ... cardiology care . Non-acute care is offered through various... to an assigned group of patients through the utilization Standards of Practice and policies and procedures and… more
- Outreach Development Corporation (Brentwood, NY)
- …with regard to tracking, reporting and outcome objectives, including ongoing internal review of service delivery. . Assist with coordination, training and support to ... the Site Director. . Implement vocational services and promote utilization of staff that serves to enhance program ...LMHC, LP or higher preferred. . Limited permit or clinical master's level candidate with relevant experience will be… more