- Bowery Residents Committee (Manhattan, NY)
- …training on topics such as best practices , clinical documentation and clinical writing as necessary based on chart review findings and program trends ... maintain a program compliance training curriculum based on best practices, clinical chart review findings, trends, and relevant city, state, and federal laws and… more
- University of Rochester (Rochester, NY)
- …the application of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to ... clinical nursing experience, including 1 year of experience with clinical chart review , monitoring of clinical data and process improvement required -… more
- Humana (Albany, NY)
- …team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical … more
- Humana (Albany, NY)
- …their daily work specifically for DSNP. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- UPMC (Jamestown, NY)
- …program leadership. + Participates in regular treatment team meetings to discuss clinical cases, review and update patient treatment plans, monitor therapeutic ... at UPMC! We look forward to hearing from you! **Responsibilities:** + Grows clinical skills by learning and implementing new treatment approaches on a regular basis.… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …designed to improve overall quality through the use of evidence based medicine and peer review . Participates in clinical review process such as tort claims, ... to ensure that they are performing to the highest standards of clinical care excellence, time efficiency, professional and ethical behavior. Assures that… more
- Rochester Regional Health (Rochester, NY)
- …medical necessity in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization, performing continued ... service by modeling the Brand Promise and Core Values.RESPONSIBILITIES: + Conducts clinical reviews utilizing objective criteria (Interqual) to assign patient to the… more
- New York State Civil Service (Schenectady, NY)
- …and are essential in addressing the following work activities:* Complete a clinical review of eligibility documentation comprised of testing and assessments* ... 12304 Duties Description POSITION DESCRIPTION:Under the direction of the Clinical Supervisor, this LMSW position evaluates the clinical...the criteria for OPWDD services as well as the review and completion of the Level of Care form… more
- New York State Civil Service (Thiells, NY)
- …and are essential in addressing the following work activities:* Complete a clinical review of eligibility documentation comprised of testing and assessments* ... 10984 Duties Description POSITION DESCRIPTION:Under the direction of the Clinical Supervisor, this LMSW position evaluates the clinical...the criteria for OPWDD services as well as the review and completion of the Level of Care form… more
- Fedcap (New York, NY)
- …with the Clinical Services Department's staff to execute and review clinical protocols, performance objectives, productivity benchmarks, compliance measures, ... methods + Provide ongoing training and Grand Rounds for clinical staff + Review and approve recommended determinations and modifications and referrals for… more