- Humana (Albany, NY)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Evolent (Albany, NY)
- …Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, ... when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD review… more
- City of New York (New York, NY)
- …and improving patient outcomes and quality of care. - Ensuring that the medical policies and procedures are maintained up to date and consistent with guidelines ... continuous training. - Working collaboratively with Bureau staff, including the Medical Director for Reproductive Health, directors of other units (Nursing, Clinic… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … medical policies, in conjunction with Medical Services team and Medical Policy Department, based on changes in healthcare. + Consistently demonstrates ... you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services… more
- University of Rochester (Rochester, NY)
- University of Rochester: Office of the Provost: University of Rochester Medical Center: School of Medicine and Dentistry: Medicine: Medicine: Hematology/Oncology ... Institute (NCI) cancer center, at the University of Rochester Medical Center, is seeking a dynamic and visionary leader...state's largest blood and marrow transplant programs. Wilmot is home to the region's first cancer survivorship clinic and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …management. Level II (in addition to Level I Accountabilities) + Reviews medical literature and applies evidence- based principles using high proficiency skills ... disorders. + Ability to identify, analyze and resolve complex medical issues. + Skills in evidence- based medicine....including fluorescent lighting. + Ability to work in a home office for continuous periods of time for business… more
- Ideal Home Care (Islandia, NY)
- …Education, Nurse Owned and Operated school. We currently offer 12 curricula from Medical assistant, Nursing Assistant, just to name a few. Position Summary: Organize ... English language (speaking, writing, and comprehending). Create individualized educational plans based on each student's needs and evaluate their progress through… more
- Albany Medical Center (Albany, NY)
- …monitor patients' clinical process through /patient care standards and evidence- based guidelines to ensure timely, appropriate interventions that achieve optimal ... and utilization of resources. + Utilizes own special body of knowledge and evidence- based guidelines to provide leadership and guidance to the health care team in… more
- Evolent (Albany, NY)
- …match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Mount Sinai Health System (New York, NY)
- …in updating patient demographic and insurance information. Assists in the maintenance of medical charts (filing, Op Reports, test results, home care forms). + ... the possibility of multi-site travel. This individual mentors and trains less experienced Medical Assistant and Clinical Assistant staff and may act in a lead… more