- Bassett Healthcare (Oneonta, NY)
- …them of any delays or changes in their appointment as observed by supervisor and/or peer review + Patient is identified using 2 identifiers such as name and ... staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....National Patient Safety Goals as observed by supervisor and/or peer review + Communicates patient issues/concerns to… more
- Elevance Health (New York, NY)
- …The **Clinical Operations Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions ... Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and supportive...necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer -to- peer … more
- Project Renewal, Inc. (New York, NY)
- …+ Evaluates the performance of primary care providers on a regular basis using peer review results, chart reviews and client survey results. Program Development ... Title: Medical Director, Primary Care Program: Healthcare Department Salary...+ Schedules regular team meetings of the Primary Care staff to review challenging cases and standards… more
- Bassett Healthcare (Little Falls, NY)
- …training of shared practices between provider/nursing/ancillary staff as measured by review of extra departmental peer review + Maintains adaptability ... special skills or knowledge are required as measured by peer review and leadership observation + Develops...provider, provides documentation of evaluations + Educate the patients, medical staff , respiratory, nursing, and related health… more
- Bassett Healthcare (Cooperstown, NY)
- …them of any delays or changes in their appointment as observed by supervisor and/or peer review + Patient is identified using 2 identifiers, such as name and ... staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....National Patient Safety Goals as observed by supervisor and/or peer review . + Communicates patient issues/concerns to… more
- Bassett Healthcare (Norwich, NY)
- … member goes into waiting area to greet patient as observed by supervisor and/or peer review , and rooms patient as soon as possible. + Patient is identified ... staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....National Patient Safety Goals as observed by supervisor and/or peer review + Documents with accuracy patient… 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 ... rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Evolent (Albany, NY)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting...Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Evolent (Albany, NY)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… 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 ... completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting...expedited appeals. + Ensures documentation of all communications with medical office staff and/or MD provider is… more