- Ellis Medicine (Schenectady, NY)
- …referrals to physician advisor when unable to resolve issues with attending physician + Documents thoroughly and accurately in medical record + Collaborates ... appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional… more
- Mount Sinai Health System (New York, NY)
- …clinical information to the payor, as needed, coordinating direct communication between physician and payor Medical Director as required. 6. In psychiatry, ... on reducing the length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice and may require… more
- Mount Sinai Health System (New York, NY)
- …clinical information to the payor, as needed, coordinating direct communication between physician and payor Medical Director as required. f. In psychiatry, ... on reducing the length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice and may require… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary),… more
- Humana (Albany, NY)
- …The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review… more
- Humana (Albany, NY)
- …The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Quality Management/ Utilization Management (QM/UM) Plan, including having the BH Medical Director for Children's Services and participate on the BH committees for ... the corporate 'Work from Home' policy Minimum Qualifications: + Must hold a NYS medical license as a physician board certified in child and adolescent psychiatry… more
- New York State Civil Service (Albany, NY)
- …through collaborative review and utilization of available data.* Serve as physician advisor to OPWDD Medical Directors and lead clinician when collaborating ... Agency People With Developmental Disabilities, Office for Title Chief of Medical Services Occupational Category Health Care, Human/Social Services Salary Grade 668… more
- Mount Sinai Health System (New York, NY)
- …acute/chronic illnesses. + Documents findings and plan of care in the patient's medical record. + Consults with physician according to established standards, ... Ability to interpret and apply principles of nursing research utilization . + Ability to manage and coordinate a patient...Documents findings and plan of care in the patient's medical record. + Consults with physician according… more