- Elevance Health (New York, NY)
- …and providers. **How you will make an impact** : + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... ** Clinical Operations Associate Medical Director** **Carelon Medical Benefits...necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review… more
- City of New York (New York, NY)
- …develop infant mortality action teams policies and processes. Support Lead and manage clinical case review and abstraction process for infant death cases and ... manage clinical case abstractors as needed. * Assist with reports, presentations on findings and conclusions based on the causes of infant death, preventability,… more
- Rochester Regional Health (Rochester, NY)
- … programming as appropriate. + Helps to drive the ongoing development of selected clinical staff through provision of assistance in case management or other ... Job Title: Team Leader, Clinical Services - CHHA Department: Social Work Location:...orientation classes, providing observation and co-visits, and assisting with case management as appropriate. + Serves as resource person… more
- Rochester Regional Health (Rochester, NY)
- … programming as appropriate. + Helps to drive the ongoing development of selected clinical staff through provision of assistance in case management or other ... Job Title: RN Team Leader Clinical Services Department: Home care Location: Monroe, Livingston...orientation classes, providing observation and co-visits, and assisting with case management as appropriate. + Serves as resource person… more
- Bassett Healthcare (Cooperstown, NY)
- …with regulatory and accreditation standards Participate in multidisciplinary team meetings and case reviews Conduct clinical research and contribute to scholarly ... enjoy the best quality of life possible. What you'll do The Pharmacy Clinical Coordinator will be responsible for coordinating clinical pharmacy services,… more
- Northwell Health (Melville, NY)
- …certifications as needed. Preferred Skills 3-5 years experience in Utilization Review, Case Management, and Clinical Appeals. 3-5 years of acute inpatient ... payer. Prepares and defends level of care and medical necessity for assigned case . Collaborates with physician advisor, payor representative and site case … more
- Humana (Albany, NY)
- …with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of the Medicare ... are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides… more
- Utica University (Utica, NY)
- …community for mental health related emergencies. + Timely completion of appropriate clinical documentation, case management, and coordination of care with other ... mental health, substance use and/or general wellness. + Participate in clinical supervision and case reviews with counseling center staff, as well as attend… more
- Utica College (Utica, NY)
- …community for mental health related emergencies. + Timely completion of appropriate clinical documentation, case management, and coordination of care with other ... mental health, substance use and/or general wellness. + Participate in clinical supervision and case reviews with counseling center staff, as well as attend… more
- Mohawk Valley Health System (Utica, NY)
- …and addressing psychosocial stressors. + Provide crisis intervention and support in various clinical situations. Case Management & Coordination: + Assist in care ... - LMSW/LCSW/LMHC/LMHC-D - Outpatient Counseling - Full Time - Days Department: CASE MANAGEMENT Job Summary The Social Worker LMSW (Licensed Master Social Worker)… more