- Molina Healthcare (Buffalo, NY)
- …reviews and appeals * Supports BH committees for quality compliance. * Implements clinical practice guidelines and medical necessity review criteria * Tracks all ... all LOBs * Responds to BH-related RFP sections and review BH portions of state contracts * Assist the...2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program… more
- Molina Healthcare (Syracuse, NY)
- …health committees for quality compliance. * Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. * ... member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and… more
- Pfizer (New York, NY)
- …ability to perform benefit-risk assessments. + Ability to perform safety data review , safety data assessment, Clinical safety signal identification, risk ... Working with other Pfizer functions engaged in benefit-risk management (Regulatory, Quality, Clinical , Medical, Corporate Audit, etc) to enable one medical voice +… more
- Mount Sinai Health System (New York, NY)
- …agreement. 2.Develops and implements a collaborative practice agreement in the specific clinical area and performs a periodic review of the collaborative ... person to nurses and other health team members. 17.Participates in peer review . 18.Incorporates research findings in clinical practice. 19.Participates in… more
- University of Rochester (Rochester, NY)
- …providing education, training, testing guidance, and compliance reporting across the clinical enterprise. Responsible for the review , testing and validation ... + Excellent customer service skills preferred **LICENSES AND CERTIFICATIONS** + Licensed Clinical Lab Technologist per New York State upon hire required The… more
- New York State Civil Service (Queens Village, NY)
- …individualized treatment plans that include goals and objectives.* Participating in case review to present clinical observations and suggest treatment programs.* ... progress and maintaining records. * Coordinating treatment planning with other clinical disciplines for individuals with more complicated conditions. * Supervising… more
- UHS (Walton, NY)
- …to patients according to physician orders and pharmacy regulations + Review prescriptions for clinical appropriateness, potential drug interactions, allergies, ... the safe and accurate administration of medications by verifying the clinical appropriateness of prescribed treatments and overseeing proper delivery methods,… more
- Bassett Healthcare (Cooperstown, NY)
- …record according to unit and organizational standards, as evidenced by supervisory chart review . d. Updates patient clinical information systems in a timely ... RN d. Obtains vital signs, weights, I&O and other clinical measurements on adults and newborns. e. Assists patients...for patient care staff, as noted by random supervisory review of chart and computer. e. Schedules procedures, follow-up… more
- Bassett Healthcare (Oneonta, NY)
- …high quality patient experience takes place by providing administrative and/or clinical support to ambulatory patient care teams through excellent customer service, ... regarding the organization and/or services, and provides directions to the appropriate clinical location as necessary. + Offers patients the opportunity to sign up… more
- Mount Sinai Health System (Brooklyn, NY)
- …and the use of advanced technology, and innovative medical and surgical treatments. ** Clinical Leadership:** + Leads weekly educational case review sessions to ... development and implementation of diabetes/obesity patient care guidelines including new patient clinical offerings that drive best practices. + Works to ensure the… more