- New York State Civil Service (NY)
- …summaries prior to accepting an individual back into the group home residence.* Review medical information for new admissions to a residence when needed ... quality care. * Review of lab work, specialty consults, hospital discharges, medical visit summaries and diagnostic reported when needed to assist the group home… more
- City of New York (New York, NY)
- …and end of treatment reviews of all confirmed cases in the chest center. Regularly review medical records of other clinicians working at the clinic. Any problems ... Job Description City Medical Specialist assignment level IV THIS IS A...loan forgiveness programs and state repayment assistance programs. Please review the notice to see if you may be… more
- Molina Healthcare (Albany, NY)
- …Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- City of New York (New York, NY)
- …guidelines for infant safe sleep and health. * Participate in the development and/or the review of medical and technical review of materials developed by the ... NOT BE LIMITED TO: Under the direction of the Medical Director (MD), the Medical Specialist will:...policies and processes. Support Lead and manage clinical case review and abstraction process for infant death cases and… more
- Centene Corporation (New York, NY)
- …and medical necessity using appropriate criteria, referring those requests that fail review to the medical director for second level review and ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Humana (Albany, NY)
- …help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the… more
- Nuvance Health (Poughkeepsie, NY)
- …overall direction, operation and management of the Department including quality, peer review , medical education and research. * Provides leadership and direction ... *Description* *Chair of Medicine Opportunity- Vassar Brothers Medical Center - Poughkeepsie, New York ( 75...75 minutes north of New York City)* Vassar Brothers Medical Center, located 75 minutes north of New York… more
- Finger Lakes Health (Geneva, NY)
- …intake information and transcribes physician's exam/consultation findings into the Electronic Medical Record for review . The MA performs dressing changes, ... Manager and/or Physician and in accordance with approved policies and procedures, the Medical Assistant (MA) provides quality care in an effort to achieve the best… more
- Robert Half Accountemps (New York, NY)
- …with experience in medical billing and coding. Responsibilities: * Analyze and review medical claim denials to identify errors or discrepancies. * Resubmit ... Description We are looking for a skilled Medical Billing Specialist to join our team on...will play a key part in managing and resolving medical claim denials, ensuring accuracy and compliance with Medicaid… more
- Ellis Medicine (Schenectady, NY)
- …guidance, support, and back-up to social workers on patients in need of transfer, medical review and care planning + Coordinates, plans, and participates in ... by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers for… more