- Kelly Services (Rochester, NY)
- …exception, and medical necessity reviews + Route cases to pharmacist/ medical director for final determination, as directed + Issue verbal ... review of prior authorization requests for both pharmacy and medical specialty drug reviews as permitted by law. Reviews...mouse, and phone + Ability to work in a remote home office environment + Ability to travel regionally… more
- Western Digital (Albany, NY)
- …focused specifically on unique Hard Disk Drive technologies, reporting to the Sr. Director of Strategic Sourcing for Heads & Media. The ideal candidate will have ... dress and grooming standards), sex (including pregnancy, childbirth or related medical conditions, breastfeeding or related medical conditions), gender… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: The Department of Radiology at Westchester Medical Center, a major tertiary care and teaching hospital located in Valhalla, ... NY and affiliated with New York Medical College is seeking a Radiologist with fellowship training...our expanding overnight Emergency Radiology program. The position includes remote overnight coverage with a shift cycle of 7… more
- UPMC (Jamestown, NY)
- …Next PACS Administrator! Are you a tech-savvy professional with a passion for medical imaging and a knack for problem-solving? UPMC Chautauqua is seeking a dedicated ... ready to make a difference in the field of medical imaging and contribute to the excellence of UPMC...Services with UPMC Chautauqua! Under the direction of the director , the PACS Administrator I is accountable for the… more
- Centene Corporation (New York, NY)
- …necessity using appropriate criteria, referring those requests that fail review to the medical director for second level review and determination. + Completes ... 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …mandatory trainings as required. + May be required to attend Fair Hearings with Medical Director relating to specific cases. + Works independently, as well as ... Community Health Assessment (CHA) Tools to determine functional status, medical , behavioral, psychological, and community resource needs for coordinating,… more
- Independent Health (Buffalo, NY)
- …for all reconsideration clinical appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of all ... with proficiency in Microsoft Word and Excel. Experience with remote access - citrix, VPN, external EMR access. +...process. + Responsible for the ongoing management of Inpatient Medical Admission and Readmission audits to include trends of… more
- Rise Life Services (Riverhead, NY)
- …Job Location Main Office - Riverhead, NY Secondary Job Location(s) Undisclosed Remote Type N/A Position Type Full-Time/Part-Time Education Level High School Salary ... compensation benefits package, which may include the following: + Medical /Dental/Vision Insurance - Premier nationally recognized providers + Vacation/Personal/Sick… more
- Project Renewal, Inc. (New York, NY)
- …Manager would report to the Nurse Care Manager for Drug User Health and the Medical Director of Addiction Medicine & Drug User Health. The ideal candidate must ... our primary care and psychiatry clinics and our mobile medical vans and referrals to external providers. This treatment...significant walking and/or standing in shelter and community. + Remote work for part of the regular schedule is… more
- Centene Corporation (New York, NY)
- …on best practice models and utilization management processes + Interact with the Medical Director , or designee, to discuss clinical authorization questions and ... 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more