- Highmark Health (Albany, NY)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- Trinity Health (Syracuse, NY)
- …a robust education program, a generous tuition reimbursement allowance, and clinical ladder incentives to support career growth. Our collaborative culture encourages ... plan of care from admission to discharge. + Utilize clinical knowledge, critical thinking skills & the principles of...to all patients in accordance with the New York Regulatory Agencies, National Standards of Practice, and Nursing and… more
- Trinity Health (Syracuse, NY)
- …including but not limited to, appending modifiers and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including ... charges and adjustments Maintains productivity standards Maintains compliance with regulatory requirements Responsible for denial coordination with Patient Business… more
- WMCHealth (Valhalla, NY)
- …in accordance with established rules, procedures, specified time frames, and regulatory requirements. The Specialist processes clinical information in a ... Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care Mgmt-WMC Health Union: No Position: Full Time Hours:… more
- Molina Healthcare (Albany, NY)
- …Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting the medical and clinical staff. MD licenses ... NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical… more
- ThermoFisher Scientific (East Syracuse, NY)
- …step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel ... frameworks for clinical research through our PPD clinical research...technical advancements. * Support the preparation and review of regulatory submissions related to analytical procedures, method development and… more
- The Institute for Family Health (New York, NY)
- …regulatory compliance, training needs, and research initiatives. A. Clinical Responsibilities: Maintaining an active medical practice ofTBDclinical sessions ... Description Responsible for the care of patient at all clinical sites and programs as assigned by their supervisor....in the development of other staff members. + Meets regulatory , licensure and annual health assessment requirements. + Identifies… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …+ Interacts with regulatory and accreditation agencies as assigned. + Provides clinical support to the Sales and Marketing divisions + Provides clinical ... approved quality improvement and utilization management programs in accordance with regulatory , state, corporate, and accreditation requirements. + Assists the Chief… more
- University of Rochester (Rochester, NY)
- …expand regional GI services. Objectives include building team-based care and optimizing clinical , operational, and financial efforts. Service in this role will be at ... & Hepatology and the Chair of Medicine. **Key Responsibilities:** . Effort: 60% Clinical / 30% Administrative / 10% Academic . Reports to the Chief of… more
- The Institute for Family Health (New York, NY)
- …medical director :Provider Productivity, Provider Quality Performance (Peer Review and Clinical Registries), Provider Evaluation at practice sites, Regulatory ... Salary/year Job Category Health Care Description SUMMARY: Responsible for the overall clinical management of the practice and program assigned to the practice as… more