- CenterWell (Liverpool, NY)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... : Hybrid **Branch Location** : Liverpool, NY The **RN Clinical Manager** coordinates and oversees all direct care patient...Utilization Review staff. Upon completion of the assessment, creates and… more
- Kaleida Health (Buffalo, NY)
- …Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding data.The CDS facilitates ... ** Clinical Documentation Specialist** **Location:** **Larkin Bldg @ Exchange...care team. The CDS is also responsible for audit review to identify potential documentation deficiencies in specific records… more
- Independent Health (Buffalo, NY)
- …coding guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records, consultation with ... and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing coding and … more
- The Institute for Family Health (New York, NY)
- …evaluations in collaboration with the Dental Director and Administrator. + Performs daily review of clinical schedule for accuracy. + Monitors monthly ... CLINICAL COORDINATOR Job Details Level Experienced Job Location...Shift Day Job Category Health Care Description Summary: The clinical coordinator position is a dynamic and exciting opportunity… more
- Union College (Schenectady, NY)
- …for three professional references who can speak to their abilities in Teaching, Clinical Supervision, and/or Research. Review of applications will begin on ... The Union College department of Psychology seeks a clinical or counseling psychologist for a half-time Visiting...through mid-June 2026), which are components of our year-long clinical sequence: Clinical Psychology 2: Interventions (with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the diagnosis and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual ... benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental… more
- Mohawk Valley Health System (Utica, NY)
- …and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, ... utilization of resources. The Physician Advisor guides the team to improve clinical and financial outcomes with documentation and clinical education. Core… more
- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...MD review process to reflect appropriate utilization and compliance with… more
- Catholic Health Services (Melville, NY)
- …clinical expertise/reference for specialty services as needed to adequately prepare clinical review and/or appeal. Demonstrates aptitude and skill in applying ... and level of care to MCC in response to physician order, or review of updated clinical information Acts as a resource for MCC/CM regarding regulatory or managed… more
- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a...MD review process to reflect appropriate utilization and compliance with… more