- Fresenius Medical Center (Jamaica, NY)
- …process for physician privileges and compliance with FMS Medical Staff By -Laws. + Responsible for strong Director and physician relationships and ... all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS… more
- Evolent (Albany, NY)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in PM&R cases, that do not...or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer… more
- Pfizer (Pearl River, NY)
- …+ Reviews and queries safety and efficacy data in support of the clinical data review strategy and collection of quality data and review of emerging clinical ... governance bodies, and other internal and external stakeholders. + Sets the clinical data review strategy and leads the team in the collection of quality data and … more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and PH care across the UM/ CM staff. + Participates in clinical peer review recruitment and supervision. + Collaborates with Provider Relations staff to ensure an ... Ensures that other Behavioral Health medical directors reviewing pediatric cases review those cases in accordance with Company policies. + Consistently demonstrates… more
- Nuvance Health (Poughkeepsie, NY)
- …1. Patient Care - Collect all outside medical records and test results from referring physician for health care provider review . 2. Review patient schedule ... and Procedures at all times. 6. Promotes a safe and efficient working environment by adhering to safe equipment and supply handling Policies and Procedures at all… more
- Trinity Health (Schenectady, NY)
- …national origin, disability , veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity ... of clients through on site and/or telephonic assessment and record review in collaboration with physicians, nurses, therapists, social workers, case managers… more
- Trinity Health (Syracuse, NY)
- …national origin, disability , veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity ... Lead initiative on point-of-service collections at each office. + Review denials and identify areas needing improvement. + Work...issues + coach, counsel and support employees and lead by example. + Provide back up in the absence… more
- Guidehouse (New York, NY)
- …Required** **:** None **What You Will Do** **:** + Performs chart review of identified patients to identify quality, timeliness and appropriateness of patient ... for inpatient level of care or observation services based on physician certification + Gathers clinical information to conduct continued stay utilization… more
- Rochester Regional Health (Rochester, NY)
- …Health is an Equal Opportunity/Affirmative Action Employer. Minority/Female/ Disability /Veterans by a prospective employee and/or employee's Physician or ... supplies and pharmacy); identify and report revenue cycle opportunities + Auditing & Review . Complete the CDM review by obtaining appropriate approval,… more
- Pfizer (New York, NY)
- …and interpretation of clinical study results. + In accordance with the Safety Review Plan, performs and documents regular review of individual subject safety ... generally not serve in an official manager role, may review the work of others within the group or...transfers of value to health care providers as required by federal and state transparency laws and implementing regulations.… more