- Molina Healthcare (Rochester, NY)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. + ... Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review… more
- Evolent (Albany, NY)
- …any license required per business needs + Active Board Certification in Medical Oncology + Strong clinical, management , communication, and organizational skills ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Air National Guard Units (Westhampton Beach, NY)
- …all medical administrative functions including medical support, medical operations, force health management , force health protection, healthcare ... Summary THIS IS A NATIONAL GUARD TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a... POSITION. This National Guard position is for a MEDICAL ADMINISTRATIVE OFFICER, Position Description Number D1718000 and is… more
- Mount Sinai Health System (New York, NY)
- …requests using information technology, enrollment, claims, pharmacy, clinical, contract, medical management , financial, administrative and other corporate data ... to identify utilization trends and variations across the different categories of health care services to assist the Medical Directors to focus their efforts to… more
- Highmark Health (Albany, NY)
- …**PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities + Responsible for communicating review ... The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** Provides professional comprehensive care management services to patients of the Strong Memorial ... most complex, high utilizing patients that need comprehensive care management services . Health Home core services...clients + Complete initial and annual comprehensive assessment of medical , behavioral health and social service needs… more
- Glens Falls Hospital (Albany, NY)
- …can be found *here*. **Job:** **Allied Health - Health Information Management * **Title:** * Medical Records Coder IV* **Location:** *NY-Albany* **Requisition ... Fulfill Your Potential** * *Responsibilities* * Reviews the documentation in the hybrid medical record (electronic and paper medical record) of inpatient and /… more
- Weill Cornell Medical College (New York, NY)
- …Under direction, assists physicians with patient care, health education/promotion, electronic medical record (EMR) chart management , coordination of patient care ... and treatment of patients as needed. + Coordinates multidisciplinary health care services and arranges diagnostic tests as ordered by physician(s) when needed.… more
- Weill Cornell Medical College (New York, NY)
- …Summary** Under direction, assists physicians and nurses with patient care, electronic medical record (EMR) chart management and patient flow **Job ... equipment, stock rooms, checks materials and medications for expiration and discards medical waste properly. + When needed, records medical information within… more
- Mount Sinai Health System (New York, NY)
- …requests using information technology, enrollment, claims, pharmacy, clinical, contract, medical management , financial, administrative and other corporate data ... to identify utilization trends and variations across the different categories of health care services to assist the Medical Directors to focus their efforts to… more