- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the ... with clinical employees on multiple levels, including pharmacists, nurses, medical /clinical staff, Finance personnel, department managers, access services staff, and… more
- Mount Sinai Health System (New York, NY)
- …consistently earns Magnet status for nursing care, and it is the only medical center in New York State to earn Disease-Specific Care Comprehensive Stroke Center ... a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric...of the art and science of medicine. **Qualifications** + Medical Degree from an Accredited University + New York… more
- WMCHealth (Valhalla, NY)
- …denials. Generate appropriate appeals, both retrospective and concurrent, based on medical necessity criteria. 2. Identify opportunities to improve reimbursement. 3. ... and specific functions may change from time to time. + Review and identify medical necessity denials appropriate for appeal. + Appeal appropriate medical denials… more
- New York State Civil Service (Commack, NY)
- …reflecting current medical issues and treatments* Updating the supervising physician/ Medical Director on acute problems or unresolved chronic issues ... RESPONSIBILITIES:In a clinical setting, the incumbent will provide diagnostic and therapeutic medical care and services under the direct supervision of a licensed… more
- MVP Health Care (Schenectady, NY)
- …care. + The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. + Service Authorization & Review: Conduct ... members. + Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner,… more
- Mount Sinai Health System (New York, NY)
- …care team to improve health outcomes. Utilizes internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate ... from Inpatient + Obtains past records form prior psychiatric providers + Obtains medical records from primary care and other specialist providers if appropriate +… more
- New York State Civil Service (NY)
- …RN1 as needed.*Ensure nursing case management of multiple locations; caseload based on medical acuity.*Oversee and supervise RNs and LPNs who will supervise the AMAP ... Assistants health care per the nurse Act Exemption.*Ensure all medical follow-up is done timely.Responsible for in-service on nursing...the cluster, work closely with the Nursing Supervisor / Director of Nursing and Team to review findings, and… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals of the company. The SSR ... and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology… more
- Sunrise Senior Living (Hicksville, NY)
- …+ Conduct initial and on-going client assessments and communicate findings to Executive Director (ED). + Review and develop the Client Care Plan. + Identify the ... Be on call 24/7 for client/family questions of a medical nature. + Monitor all infections/ incidents of clients....CHPN, OASIS) preferred. + Knowledge of home health regulations, Medicare /Medicaid rules, and clinical standards + Free from any… more
- YAI (Bronx, NY)
- …nurse, medical assistant, social worker) + Report and coordinate care with Medical Director + Complete all EHR documentation and administrative tasks in a ... in family medicine + Valid DEA registration and New York medical license + BLS certification Preferred Qualification Requirements (desired requirements beyond… more