- Humana (Albany, NY)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's ... and statistical records and the activities of various departments to ensure compliance with the organization's policies, procedures and standards. The Director ,… more
- Elderwood (Wheatfield, NY)
- …Elderwood is seeking a clinical leader for the important role of Assistant Director of Nursing (ADON - RN). The ideal candidate has excellent communication skills ... and an ability to foster teamwork. Assistant Director of Nursing (RN) Position Overview: + The ADON...Act requirements, facility philosophy, and operational policies while maintaining compliance with other government agency laws and regulations. +… more
- New York State Civil Service (Schenectady, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Assistant Director of Nursing ( Director Nursing 1 DD) Occupational Category Health ... serve, but to our employees as well. The Assistant Director of Nursing for OPWDD plans, oversees and evaluates...pivotal in helping to maintain clinical competence and regulatory compliance throughout the state and will be responsible for… more
- CenterWell (Albany, NY)
- …our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for ... delivery innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical … more
- New York State Civil Service (Orangeburg, NY)
- NY HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Center 1 - Quality Management, M-4, Rockland Children's Psychiatric Center, P27123 ... Commission accredited Office of Mental Health (OMH) facility, is recruiting a Deputy Director , Psychiatric Center 1 - Quality Management (DDPC 1 - QM) to oversee… more
- Evolent (Albany, NY)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Evolent (Albany, NY)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more