- CVS Health (Albany, NY)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... experience in a managed care organization (MCO). + Experience in a high-volume clinical call center or prior remote work environment. **Education** + Associate's… more
- Fujifilm (Albany, NY)
- …Manager is to understand and define our internal and external endoscopic customers' clinical needs and assist with the development and implementation of clinical ... and education solutions. Additionally, this role builds and nurtures relationships with clinical customers as it relates to participating in clinical studies… 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...effective use of health care resources. **This is a remote based (work at home) based anywhere in the… more
- Sumitomo Pharma (Albany, NY)
- …Characteristics (SmPC), and Canadian Product Monograph (PM) + Ensures timely and quality review and assessment of ICSRs, including seriousness, expectedness, ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
- Humana (Albany, NY)
- …your best at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best and most appropriate ... hiring for a UM Administration Coordinator that will provide non- clinical support for the policies and procedures ensuring best...the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
- The Arc Erie County NY (Williamsville, NY)
- …and adults with disabilities and their families in achieving their desired quality of life by creating opportunities through comprehensive quality services. ... listed below: Job Title: Behavior Intervention Specialist II (BIS II) Department: Clinical Services Job Grade: 5 Position Summary: Responsible for the assessment,… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case ... for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources.… more
- Stony Brook University (Commack, NY)
- …reflect the diagnosis/procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet ... Adobe Reader in using required computer systems with minimal assistance. + Review the medical record and all applicable documentation to determine the appropriate… more
- Catholic Health Services (Melville, NY)
- …patient care utilizing the nursing process in the ambulatory setting. The RN provides clinical leadership and is a resource for staff. The Registered Nurse must show ... an uncompromising commitment to providing the highest quality of patient care by being an integral part...patient care by being an integral part of the clinical team. The Registered Nurse Provides general nursing care… more
- Stony Brook University (Stony Brook, NY)
- …This position is a pivotal role in supporting both research and clinical laboratories by developing, optimizing, and porting biomedical data analysis pipelines, ... High-Performance Computing (HPC) clusters. This role involves significant data preparation, quality control, and analysis, and application of AI methods. It offers… more