- 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
- Bassett Healthcare (Cobleskill, NY)
- …accredited by The Joint Commission. CRH provides inpatient care for general medical conditions, an inpatient short-term rehabilitation unit, and more than 20 ... region What you'll do The Registered Professional Nurse (RN), Acute Care in the Medical Inpatient Unit is accountable for the delivery of safe patient care utilizing… more
- Catholic Health Services (West Islip, NY)
- …to reduce clinical variability and enhance patient outcomes. + Actively participate in Medical Executive, Credentials, and Peer Review Committees to drive ... activities and processes, such as Root Cause Analyses, to review and monitor the quality of care provided to...+ Provide ongoing medical education to Nursing Staff , Medical Staff , APPs, and… more
- Bassett Healthcare (Delhi, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data ... than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. + Identifies expected outcomes...of the time, as observed by supervisor and POC staff . + (RN I only) Maintains and documents testing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …from management. + Oversees and coordinates the daily activities of the non-clinical SIU staff medical record reviews. + Keeps abreast of new developments in the ... matter expert and liaison for interdepartmental projects and represents non-clinical staff in discussions with Medical Directors and/or clinical consultants.… more
- Elevance Health (New York, NY)
- …oncology._ The ** Medical Director, Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical ... medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy… more
- Albany Medical Center (Albany, NY)
- …program + Prepare the case summaries for the Trauma M&M meetings, Trauma Multidisciplinary Peer Review Committee Meetings, and other PI forums + Scribe the ... and is dedicated to the Trauma Service at Albany Medical Center (AMC) in accordance with the American College...minutes of the Trauma M&M and Trauma Multidisciplinary Peer Review Committee meetings to reflect thorough… more
- Fresenius Medical Center (Staten Island, NY)
- …* Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. * Responsible for strong Director and physician ... Quality policies and procedures are communicated to and implemented by the facility staff . * Maintains integrity of medical records and other FMS administrative… more
- YesCare Corp (Coxsackie, NY)
- …annually. + Lead quality improvement initiatives, including patient complaints, infection control, peer review , and chart audits. + Oversee referrals to external ... and Automated External Defibrillator (AED) use, maintaining required certifications. + Lead medical staff meetings and provide monthly in-service education for … more
- Mount Sinai Health System (New York, NY)
- …evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary ... Opportunities** Mount Sinai Hospital RN Float Pool (ICU and Medical Surgical Step Down) The Clinical Nurse for the...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2.… more