- Amergis (Smithtown, NY)
- …plays an essential role in promotingthe health and safety, responding to medical emergencies, managing chronicconditions and serving as a liaison between families, ... + Current Registered Nurse (RN) license in the state ofemployment + Bachelor's Degree, preferred + School Nurse Certification as required by state or contract + One… more
- Maxim Healthcare (Syracuse, NY)
- …patients are located) + A minimum of one year of RN experience is preferred + Supervisory experience is an advantage + Strong communication, organization, and time ... 5,000 annual bonus potential #IND123 Maxim Benefits: Health and Wellness Medical /Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Regular attendance at assigned meetings including, but not limited to, weekly Medical Director staff meetings, weekly case consistency meetings, monthly ... (in addition to Level I Qualifications) + Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge of managed… more
- Albany Medical Center (Albany, NY)
- …storage of special materials / instruments to assure availability prior to the scheduled case + Completes the assembly of surgical case cart and assure the ... delivered to the appropriate suite in advance of the case . Maintains a basic competency of the SPD ...years' experience in a support position, inventory control - preferred + Basic business and computer skills are needed,… more
- Highmark Health (Albany, NY)
- …+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) ** Preferred ** + 1 year in Medical Management in a Health Insurance Plan; ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...Preferred ** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written… more
- Humana (Albany, NY)
- **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 ... or data requires an in-depth evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with 30-60 days of hire. The… more
- Datavant (Albany, NY)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
- Humana (Albany, NY)
- …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 ... Behavioral Health Medical Director work assignments involve moderately complex to complex...participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute… more
- Humana (Albany, NY)
- **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 ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- Humana (Albany, NY)
- …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 ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more