- Highmark Health (Albany, NY)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Mount Sinai Health System (New York, NY)
- …technology or related health care field is preferred. + Knowledge in medical terminology, basic anatomy and physiology, medico- legal and regulatory record ... **Job Description** Controls the release of health information from patient medical records in accordance with regulatory requirements, hospital policies and… more
- J&J Family of Companies (New York, NY)
- …impact health for humanity. Learn more at https://www.jnj.com **Job Function:** Medical Affairs Group **Job Sub** **Function:** Medical Science Liaison ... & Johnson Innovative Medicines is recruiting for a Senior Medical Science Liaison, Immunology to be based in the...regarding reactive and proactive outreaches as approved via the legal /HCC exceptions process + Integrates scientific data into real… more
- Guthrie (Corning, NY)
- Position Summary: Responsible for coordinating the activities of the Medical Staff Office and performs secretarial duties for the Vice President, Quality/Risk ... business school certification or at least 3 years' experience as a Medical Staff Coordinator preferred. Medical Staff certification preferred. Experience:… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + High School Diploma/GED + 3 years of experience as a Medical Assistant; 5 years of experience preferred + BLS Issuing Authority: American Heart ... Association + **Certification:** Certification as a Medical Assistant from an approved school or equivalent training and experience Non-Bargaining Unit, B4Q - OBGYN… more
- Evolent (Albany, NY)
- …or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board **To comply with HIPAA security standards ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when… more
- Evolent (Albany, NY)
- …or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board **To comply with HIPAA security standards ... non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology… more
- Evolent (Albany, NY)
- …or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board **To comply with HIPAA security standards ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Evolent (Albany, NY)
- …(GSA), or reprimanded or sanctioned by Medicare. . No history of disciplinary or legal action by a state medical board **To comply with HIPAA security ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Mount Sinai Health System (New York, NY)
- …For Future and Current Opportunities** Mount Sinai Hospital RN Float Pool (ICU and Medical Surgical Step Down) The Clinical Nurse for the Mount Sinai nursing float ... and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care. 6. Facilitates patient...Required within MICU, SICU, TICU, NSICU, CICU Requirements for ** Medical Surgical Float Pool** : + BSN + NY… more