- Rochester Presbyterian Home (Rochester, NY)
- …age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit- based factors. ... team spirited and share a deep respect and affection for Elders. The Rochester Presbyterian Home in Rochester, NY has been serving Elders for over 90 years. RPH also… more
- Rochester Presbyterian Home (Rochester, NY)
- …organized, outgoing and interested in working in an environment that's like working from home , where elders thrive and staff is empowered, please apply to join our ... about what we do at www.rph.org . Rochester Presbyterian Home (RPH) is leading the way in Memory Care...and inspired to live life to the fullest. Our team- based approach to person-centered care shows that memory care… more
- Publicis Groupe (New York, NY)
- …on client business, and to represent our local product. *Manage OOH Product: Review all OOH plans and contracts to ensure client guidelines; Guide Negotiators with ... client specific questions; Develop client guidelines; Manage invoice reconciliation deadlines; Review POP reports and pacing as applicable; prepare client ready POVs… more
- Molina Healthcare (Syracuse, NY)
- …Further details to be discussed during our interview process. Remote position - Home office with internet connectivity of high speed required **.** Work hours: ... desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.… more
- Home Leasing (Rochester, NY)
- …possible to assist in minimizing lost rent. + Prepare reports based upon frequent inspections, outlining property conditions, including cleanliness of buildings ... lawns, trimming edges, clipping shrubs, and weeding flowerbeds. + Review and approve all invoices. + Regularly inspect and...What do we have to offer you? + Company-paid medical insurance + Generous vacation time/PTO + 401K plan… more
- Humana (Albany, NY)
- …help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice ... appeals. The Corporate Medical Director works on problems of diverse scope and...services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at… more
- Fresenius Medical Center (Bronx, NY)
- …in implementing educational programs for PCT staff including contests and other team- based programs. + Assists in monitoring processes in the delivery of patient ... clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are...to plan. + Assists in assuring patient understanding or home dialysis products, benefits of home and… 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 ... (in addition to Level I Qualifications) + Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge of managed… more
- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology… more