- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers for ... in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly preferred. Home care, payer, or… more
- Bassett Healthcare (Cooperstown, NY)
- …patient's needs in the Dialysis setting Collects and records relevant patient health data accurately, with no more than 3-5 exceptions, as measured by random ... supervisory chart review and/or direct supervisory observation and co-worker feedback Identifies...6 months of hire date, required Skills: Career Development Clinical Skills Focusing Multi-Tasking Accuracy Communication Critical Thinking Customer… more
- Cardinal Health (Albany, NY)
- …customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician offices and patients in the home. We ... and manufacturing facilities; and a provider of performance and data solutions. Working to be healthcare's most trusted partner,...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- University of Rochester (Rochester, NY)
- …such as consent forms and CRFs, are complete, accurate, and available for review . Communicates with Sponsor to clarify data queries to determine report ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- Highmark Health (Albany, NY)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Mount Sinai Health System (New York, NY)
- …issues both in written form and orally. + Develops automatable extract scripts from financial data source systems, clinical data source systems or data ... reporting. Other responsibilities include putting together the architecture for data integration, research, development and application of new information system… more
- Walgreens (Brooklyn, NY)
- …regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and inventory reporting, clinical management). Reaffirms with ... of the pharmacy department and is accountable for workflow management, clinical management of patients, continuous quality improvement, adherence to policy and… more
- UHS (Johnson City, NY)
- …and upload necessary documents into the EPIC electronic medical record system + Review and maintain the registration work queue regularly to ensure timely and ... and families in a high-stress, fast-paced environment + Communicate effectively with clinical and non- clinical team members to support seamless patient flow… more
- CVS Health (Albany, NY)
- …this section with the Job Summary **Required Qualifications** 6 months minimum experience with clinical review - Proficiency in Aetna Systems utilized in CCR - ... Rumba, ASD, ATV/MC, **Preferred Qualifications** 2 plus years clinical review experience preferred - Proven track record of subject matter expertise. - Ability… more
- WMCHealth (Valhalla, NY)
- …care areas at Westchester Medical Center. Participates in evaluation of nursing and clinical practice through peer review . Assists in the establishment of ... the Sr. Director/Vice President of Patient Care Services those areas of clinical practice and administration requiring evaluation and change and implementing nursing… more