- Mount Sinai Health System (New York, NY)
- …the integration of the latest discoveries in the lab and innovations in clinical care into patient-centric care models in the safest, and most compassionate way ... possible. This individual serves as a Grant or Contract reviewer for the Mount Sinai School of Medicine/ Mount Sinai Health System; interacts with the faculty,… more
- Elevance Health (Latham, NY)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer . + Responsible for ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- Sumitomo Pharma (Albany, NY)
- …or follow us on LinkedIn. **Job Duties and Responsibilities** + Lead on clinical studies and manage/provide training to team members when needed. + Contribute and ... additional expertise in the + undefined + undefined + Review Data Management Plan, Data Transfer Plan, Data Validation...SDTM and ADaM files, SAS export files, Define.xml and Reviewer 's + undefined + Perform Data analysis, statistical analysis,… more
- Highmark Health (Albany, NY)
- …and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal ... the department. + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing… more
- Health Advocates Network (Albany, NY)
- …needs pertaining to program statewide or the Director's Office + Tracking Clinical Reviewer Quality Assurance assignments and assisting with package reports ... for submission to Medical Director for review + Participating in administrative unit Quality Assurance programs + Supervising and/or training paraprofessionals or… more
- Datrose (Albany, NY)
- …operational needs pertaining to program statewide or the Director's Office Tracking Clinical Reviewer Quality Assurance assignments and assisting with package ... reports for submission to Medical Director for review Participating in administrative unit Quality Assurance programs Supervising and/or training paraprofessionals… more
- Knowledge Builders Inc. (Albany, NY)
- …needs pertaining to program statewide or the Director's Office. - Tracking Clinical Reviewer Quality Assurance assignments and assisting with package reports ... for submission to Medical Director for review . - Participating in administrative unit Quality Assurance Programs. - Supervising and/or training paraprofessionals or… more
- New York State Civil Service (New York, NY)
- …State Registered Professional Nurse's license; * A minimum of seven (7) years of clinical experience; * Knowledge of the current standards and scope of practice for ... and error-free. If needed, please include a cover page to provide the reviewer with any relevant context or background information.* Reference List: Submit a list… more
- Bassett Healthcare (Sherburne, 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
- New York State Civil Service (Albany, NY)
- …system through innovation and change, and will serve as OPWDD's first utilization review team. The BSARR Licensed Psychologist ( Clinical Quality Assurance Team ... agency. . Overseeing and managing the full lifecycle of clinical quality assurance activities, including the review ...of clinical quality assurance activities, including the review of assessments, peer reviews, clinical evaluations,… more