- Excellus BlueCross BlueShield (Rochester, NY)
- …physicians. + Conduct clinical appeal case reviews and may require peer -to- peer discussions with providers regarding UM case review determinations. + ... and medical criteria. + Assists with training medical director colleagues and nursing staff ,...clinical appeal case reviews and may require peer -to- peer discussions with providers regarding UM case review… more
- Guthrie (Binghamton, NY)
- …Collaborate with nursing, physicians, admissions, fiscal, legal, compliance, coding, and billing staff to answer clinical questions related to medical necessity ... of Guthrie Health System process improvement. + Denials Adjudication 1. Facilitate review of rejected medical claims using clinical evidenced based tools… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …Maintain Cardiology board certification and training. You will be expected to serve on Peer review and actively participate in other committees as requested by ... of Cardiology sections. You will be expected to be in compliance with the Medical Staff bylaws and will complete all medical records timely through CPRS… more
- UHS (Norwich, NY)
- …supporting the Unit Council, participating in improvement initiatives, and contributing to peer review practices + Actively engages in professional development, ... Chenango Memorial Hospital is seeking a compassionate and skilled Staff Registered Nurse (RN) or Graduate Nurse (GN) dedicated...space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes… more
- UHS (Norwich, NY)
- …supporting the Unit Council, participating in improvement initiatives, and contributing to peer review practices + Actively engages in professional development, ... like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just… more
- Corning Incorporated (Corning, NY)
- Staff Engineer, Early Stage Design **Date:** Sep 29, 2025 **Location:** Corning, NY, US, 14831 **Company:** Corning Requisition Number: 71092 **The company built on ... Ability to apply decision making and problem-solving skills to review facts and weigh options using a systematic approach...position are dependent on hours worked and may include medical , dental, vision, 401(k) plan, pension plan, life insurance… more
- Rochester Institute of Technology (Rochester, NY)
- **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** + Patient Care Services & Clinical ... Staff Support + Clinical Provider Schedules as delegated by...the Administrative Supervisor: + Create Master Templates + Manage, review and adjust daily appointment schedules; use independent judgement… more
- UHS (Johnson City, NY)
- …provider of healthcare services in upstate New York's Southern Tier, is hiring a Staff Registered Nurse, Oncology Unit to join our team at UHS Wilson Medical ... Work Location: Main Tower 5 Med-Surg Oncology, UHS Wilson Medical Center Primary Work Shift: Scheduled Weekly Hours: 0...in upstate New York's Southern Tier, is hiring a Staff Registered Nurse, Oncology Unit to join our team… more
- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more
- Rochester Institute of Technology (Rochester, NY)
- **9835BR** **Position Title:** Wellness Staff Assistant **Organization:** Student Health Center **Job Responsibilities:** Welcome and assist students and visitors: + ... policies, and confidentiality laws. + Facilitate the referral process for faculty, staff , administrators and parents who are assisting students in seeking services.… more
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