- Elevance Health (New York, NY)
- **Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central** ... to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes… more
- Rochester Regional Health (Rochester, NY)
- Medical Director of Breast Surgery Rochester General Hospital | Rochester, NY At Rochester Regional Health, we believe leadership in surgical care is about more than ... a national model of health and healing. As the Medical Director of Breast Surgery at Rochester Regional Health,...+ Board Certification: Required in General Surgery with fellowship training in Breast Surgery or Surgical Oncology. + Licensure:… more
- Rochester Regional Health (Rochester, NY)
- …of care on the unit. The 1400 Unit at Clifton Springs Hospital is a 20-bed, medical unit specializing in complex medical and telemetry care. All 20 beds on this ... to patients with a variety of complex conditions, including: + Medical /Surgical/Telemetry related diagnosis + Examples: Pneumonia, COPD, Cellulitis, Sepsis +… more
- Rochester Regional Health (Rochester, NY)
- …guidance and support to ensure the highest standards of care on the unit. Acute Medical Unit (5800) unit at Rochester General Hospital is an acute medical and ... conditions such as schizophrenia and suicidal ideation. Others are admitted with medical conditions such as down syndrome and patients with traumatic brain injury… more
- YAI (Burlington, NY)
- …Job Summary: Under the direction of the region's START leadership, the Medical Director - START provides medical oversight and consults with ... persons with I/DD and mental health needs, including complex cases. Provides training and education to START staff, ensuring appropriateness of interventions and… more
- Garnet Health (Middletown, NY)
- …appropriate in Root Cause Analysis and/or other efforts to reduce the risk of medical error and/or patient or staff harm. Training : Clinical nurses are ... us as a CTICU RN on our CTICU team at/in Garnet Health Medical Center-Middletown. Responsibilities The cardiac surgery program at Garnet Health's Peter Frommer, MD… more
- Evolent (Albany, NY)
- …Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a specialty match reviewer for Spine Surgery ... Surgery cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...a timely and accurate manner. + Participates in on-going training per inter-rater reliability process. + May assist the… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. ... in Advanced Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more
- Robert Half Accountemps (New York, NY)
- Description We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis in New York, New York. In this role, you will play ... a key part in managing and resolving medical claim denials, ensuring accuracy and compliance with Medicaid...top jobs, competitive compensation and benefits, and free online training . Stay on top of every opportunity - whenever… more