- Excellus BlueCross BlueShield (Rochester, NY)
- …with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise ... by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address… more
- City of New York (New York, NY)
- …policies, programs, and initiatives that support best case practice agency wide. The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care ... proposed medical treatment when parent/legal guardian objects. The Director of Medical Review , Authorization and Monitoring Unit (MRAM) duties will include… more
- New York State Civil Service (Albany, NY)
- …OPWDD's Medical Director of the Naloxone program.* Conduct ongoing review of OPWDD agency-wide policies and procedures.* Participate on various committees, ... including the Mortality Review Committee, Medical Task Force, Dental Task Force and other workgroups or task forces when relevant. * Serve as Medical … more
- City of New York (New York, NY)
- …other professionals (ie, physicians, social workers, etc., assigned to a multi-disciplined Medical Review Team) in the systematic assessment of referrals for ... and levels of home care services to be authorized or reauthorized. - Review medical documentation (ie, diagnoses, prognoses, prescriptions, medical doctor's… more
- Stony Brook University (Commack, NY)
- …Citrix and Adobe Reader in using required computer systems with minimal assistance. + Review the medical record and all applicable documentation to determine the ... logic to accurately reflect the diagnosis/procedures documented in the medical record. Documentation assessment and review for...in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet… more
- Community Medical and Dental Care Inc (Monsey, NY)
- …treatment + Obtain oral health assessment of each patient (new-baseline; follow-up) + Review medical history and other pertinent oral health information + ... Community Medical and Dental Care, Inc., located in Rockland...+ Must be available to work on Sundays Community Medical & Dental Care, Inc., is a non-profit community… more
- City of New York (New York, NY)
- …initial medical services for children newly admitted to foster care - Review medical records at ACS's contracted agencies to ensure compliance with ... care agencies within the 5 boroughs 2. Participating in all post medical record review quality monitoring and corrective action processes 3. Conducting ad hoc… more
- Stony Brook University (Commack, NY)
- …and HCPCS codes with modifiers for services provided in the facility environment + Review the medical record and all applicable documentation to determine the ... Experienced Outpatient Medical Record Coder **Position Summary** At Stony Brook...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- SUNY Upstate Medical University (Syracuse, NY)
- …patients, maintaining accurate attendance and therapy records. Interfaces with nursing, medical staff, utilization review social services, discharge planner, ... progress through written and verbal reports and through documentation in the medical record. Plan and schedule patient therapy based on individual needs. Schedules… more
- Mount Sinai Health System (New York, NY)
- …Coordinators are responsible for providing administrative assistance to our providers, nurses, medical directors, medical review and case management team. ... scheduled follow up and specialty appointments, authorization submitted for review . + Ensures that all orders placed by the...the patient based on program interactions in the electronic medical record as well as in the program benefits… more