- Humana (Albany, NY)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Albany, NY)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent ... mentor and resource throughout the workday in training medical director colleagues, as needed. + Conduct clinical ...medical director colleagues, as needed. + Conduct clinical appeal case reviews and may require peer-to-peer discussions… more
- Sumitomo Pharma (Albany, NY)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
- BriteLife Recovery (West Kill, NY)
- DIRECTOR OF PLANT OPERATIONS Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where ... place to work. What you will be doing? The Director of Plant Operations establishes and implements an effective...management and employees. + Collaborate with other departments (HR, Clinical , Medical and Nursing) to direct compliance issues to… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Assistant Director , Revenue Cycle is responsible for the management and execution of enterprise-wide (CenterLight and its associated entities ... or Pooled Trust. + Identify LTC/Custodial Nursing Home cases and collaborate with the Clinical team and NH providers to obtain budget letters for NAMI collection. +… more
- National Health Care Associates (Catskill, NY)
- …join our team! **-** $10K Sign-On Bonus **What You'll Do:** As an MDS Director , you will manage the Minimum Data Set (MDS) assessments necessary for developing ... personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the...all state and federal regulations for MDS completion and coding conventions. **Key Responsibilities:** + Lead and oversee the… more
- Fresenius Medical Center (Amsterdam, NY)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more
- Mount Sinai Health System (Jamaica, NY)
- …other departments and outside agencies + Understanding of coding , documentation and regulatory requirements helpful **Responsibilities** ** Clinical ... Joint Commission Additional duties may be assigned by the Director as needed: + Assigns and schedules clinical... Director as needed: + Assigns and schedules clinical staff + Supervises Advanced Practice Providers in areas… more
- Fresenius Medical Center (Rochester, NY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our… more
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