- City of New York (New York, NY)
- Job Description City Medical Specialist assignment level IV THIS IS A PART-TIME (35 Hours/Week) Please note the maximum salary is $88.13 per/hour Established in ... to hire a part-time Physician to serve as City Medical Specialist, Level 4 DUTIES WILL INCLUDE BUT NOT...weekly with PHAs and other clinic staff to conduct case management "rounds" on all Class III patients in… more
- Highmark Health (Albany, NY)
- …a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION ** **Required** + Medical Doctor or Doctor of Osteopathic Medicine ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required.… more
- Centene Corporation (New York, NY)
- … directors. Assume VPMA responsibility in absence of VPMA. + Provide medical leadership for all utilization management, pharmacy, case management, disease ... and holidays, to meet patient care needs and support case coverage. + Performs other duties as assigned +...or managing care for a culturally diverse population preferred. **License/ Certification :** Board certification in a medical… more
- Humana (Albany, NY)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
- Humana (Albany, NY)
- …related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an approved ABMS Medical or ABPN Specialty + A current and ... our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The… more
- Humana (Albany, NY)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
- Amazon (Rochester, NY)
- …(ECC) provider; AND must have one of the following: - Current valid Emergency Medical Technician (EMT) OR Paramedic Certification from the Department of Health ... goals, Amazon is seeking an experienced and dynamic Onsite Medical Representative (OMR) to join our team. In this...one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR,… more
- Amazon (Rochester, NY)
- …(ECC) provider; AND must have one of the following: - Current valid Emergency Medical Technician (EMT) OR Paramedic Certification from the Department of Health ... goals, Amazon is seeking an experienced and dynamic Onsite Medical Representative (OMR) to join our team. In this...one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR,… more
- Albany Medical Center (Albany, NY)
- …hours and hours worked are dictated by donor activity. In the event of heavy case load, all efforts will be made to utilize staff listed on the call schedule. ... will be made to accommodate the needs of off-call staff being called in, however case load factors may limit accommodations. Off call staff called into work will be… more
- Elevance Health (New York, NY)
- …making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review or policy ... or a health profession **Preferred Skills, Capabilities and Experiences:** + Board Certification by American Board of Medical Specialties in Sleep Medicine… more