- UHS (Binghamton, NY)
- …and associated documentation, ensuring accuracy and up-to-date records. + Review , track, and manage contracts throughout the implementation process, coordinating ... compliance. + Analyze and monitor reimbursement accuracy for hospital and physician contracts by reviewing Soarian Financial Master Files, executed contracts, and… more
- Rochester Regional Health (Rochester, NY)
- …stay of patients across the continuum. + Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care based on medical ... for the hospital. + Documents level of care and medical necessity in the Care Management Data base to...the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization, performing continued… more
- Rochester Regional Health (Rochester, NY)
- … and other conditions; develop treatment plans in conjunction with attending physician to provide optimal patient medical management; order consultations and ... skills and professional behavior RESPONSIBILITIES + Patient Care. Take complex medical histories on patients referred for consultation by academic and community… more
- Mount Sinai Health System (New York, NY)
- …with appropriate staff regarding patient's arrival, and ensure that patient's medical record is available for physician . + Process/update HIPAA-related ... insurance as necessary to ensure that patients have appropriate insurance for physician they are seeing. **Qualifications** + High school diploma or equivalent… more
- University of Rochester (Rochester, NY)
- …and provide feedback on evaluations for direct and indirect reports. + Review and evaluate proposed promotions or terminations as appropriate. + Participate and ... and reviews timecards for accuracy to assist with payroll processing. + Review department budget for accuracy and provide feedback to increase efficiencies in… more
- Good Shepherd Communities (Endwell, NY)
- …treatments, provide guidance and ensure that residents and patients receive appropriate medical care in a safe environment. Promotes person-centered care for optimal ... to; + Provide treatment to residents in accordance with physician orders + Administer medications to residents in accordance...care provided and resident response (or lack of) + Review & update care plans + Participate in interdisciplinary… more
- Pfizer (New York, NY)
- …execution for all FIH programs through proof-of concept + Set the clinical data review strategy, ensure quality data and conduct review of emerging clinical data ... governance bodies, and other internal and external stakeholders + Conduct data review , analysis and interpretation of clinical trials data together with the GDL,… more
- Ankura (New York, NY)
- …of HHS and the US Department of Justice. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, ... understand regulatory compliance guidelines and policies + Competent in medical coding + Proficient in review of...Competent in medical coding + Proficient in review of revenue cycle data including EOBs, 837/835 data,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and ... preadmission testing and operating room time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according to … more
- Rochester Presbyterian Home (Rochester, NY)
- …are followed up on and appropriately communicated and documented in the medical record. + Maintain Case Management/Wellness Plan review /update schedule. Complete ... on the total well-being of the resident, which includes social, family, financial, medical , mental health, key life events, dietary, and spiritual. + Ensure quality… more