- Evolent (Albany, NY)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance... review process to reflect appropriate utilization and compliance with… more
- Evolent (Albany, NY)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance... review process to reflect appropriate utilization and compliance with… more
- Regeneron Pharmaceuticals (Armonk, NY)
- …of vendor contracts, budget, TMF, and study drug accountability + Contributes to clinical study report writing and review + Facilitates and contributes to ... in one of our office locations. Fully remote is not eligible._ The **Senior Clinical Study Lead** (CSL) is expected to operate with high-degree of independence and… more
- CVS Health (Albany, NY)
- …+ **Accountable clinical quality monitoring and oversight at the regional level** + Chart Review + Clinical Quality Review + Clinical Quality Support ... excellence through demonstration of quality and safety competencies in clinical practice, chart review and clinical...and safety competencies in clinical practice, chart review and clinical coaching. **PREFERRED QUALIFICATIONS:** +… more
- Evolent (Albany, NY)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance... review process to reflect appropriate utilization and compliance with… 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 ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...MD review process to reflect appropriate utilization and compliance with… more
- University of Rochester (Rochester, NY)
- …the patient's presentation including in person evaluation of the patient and clinical risk assessment, collateral information and review of current/percent ... evaluation and risk assessments, including obtaining collateral information and review of recent clinical history for patients...obtaining collateral information and review of recent clinical history for patients across the age spectrum as… more
- YAI (Fairfield, NY)
- …home are being addressed. + The QBMP will attend and participate in the weekly/monthly clinical review . The QMP is responsible to contribute to the agenda and ... situations, and activities. + The QBMP will complete annual clinical Performance Evaluations. + The QBMP will meet regularly...training as necessary. + The QBMP will assume the clinical responsibilities of the Lead RBT in their absence.… more
- Help at Home (Brooklyn, NY)
- …+ Collaborate with Operations, Intake, and Quality & Compliance teams to develop, review , and implement clinical protocols tailored to the needs of high-volume ... be a good fit for you. **_Job Summary:_** The Clinical Operations Leader is responsible for the strategic oversight...Operations Leader is responsible for the strategic oversight and clinical operations of in-home nursing and cluster home care… more
- Humana (Albany, NY)
- …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more