- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Trinity Health (Schenectady, NY)
- …or site to the rehabilitation setting + Performs on-site and/or record review , including telephone preadmission screening and clinical assessment **What you ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Clinical Admissions Facilitator-Full-Time-in SYRACUSE, New York for Sunnyview Rehab Hospital**… more
- Rochester Institute of Technology (Rochester, NY)
- …Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** + Patient Care Services & Clinical Staff Support + Clinical ... delegated by the Administrative Supervisor: + Create Master Templates + Manage, review and adjust daily appointment schedules; use independent judgement to address… more
- Evolent (Albany, NY)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Educational Alliance, Inc. (New York, NY)
- …appropriateness of the current level of treatment, corresponding with LOCADTR and utilization review instruments. + Coordinate integrated services with medical, ... Job Title: Clinical Counselor Outpatient Services - Part-Time Division -...pre-audits of charts to ensure compliance with OASAS, managed care , and CARF standards. + Send weekly, monthly, and… more
- Monte Nido (Glen Cove, NY)
- …may substitute leadership experience elsewhere. + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance payers. + Previous ... lives while providing the opportunity for people to realize their healthy selves. ** Clinical Director** **Monte Nido Glen Cove** **Glen Cove, NY** **Monte Nido Glen… more
- Northwell Health (Manhasset, NY)
- …of clinical services. Includes but not limited to: medication review and reconciliation, dosing recommendations, pre and post transplant management of ... Number** 154393 Job Description Implements, coordinates, and evaluates all clinical transplant pharmacy services (inpatient and outpatient). Collaborates with the… more
- Evolent (Albany, NY)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- CDPHP (Albany, NY)
- …researching new and emerging technologies and interfacing with the medical directors, utilization review staff, and other key policy stakeholders Qualifications: ... to be a part of that experience. The Policy Clinical Manager will collaborate with the CDPHP team in...will collaborate with the CDPHP team in the development, review and revision of CDPHP Resource Coordination policies, including… more
- Evolent (Albany, NY)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more