- CVS Health (Albany, NY)
- …in daily/weekly/monthly operational calls with client and internal operations to review and calibrate client service metrics and performance guarantees. Analyze data ... comply with Contractual requirements like deviations, nuances, and Bill review requirements by providing appropriate documentation, training, and support. **Provider… more
- CDPHP (Albany, NY)
- …care pharmacy principles including prior authorization reviews, formulary management, and utilization review preferred. + Experience with Microsoft Office, ... Care Pharmacist -Level I is primarily responsible for the operational review of pharmacy medical exception/prior authorization requests, the communication… more
- Grant Thornton (New York, NY)
- …mark-to-model techniques, consistent with ASC 820 and industry best practices. + Review borrower financials, loan agreements, and collateral terms to assess credit ... + Mentor junior staff by providing training, technical guidance, and review support. + Participate in business development initiatives including proposal writing,… more
- UHS (Norwich, NY)
- …Services policy Shares responsibility for productivity and effective resource utilization including staffing, time management, supplies, and services + Complies ... Unit Council, participating in improvement initiatives, and contributing to peer review practices + Actively engages in professional development, continuing nursing… more
- The New Jewish Home (Bronx, NY)
- …improvement activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP, Home & Community Based Services and/or ... and procedures. o Monitors quality of care delivered by staff through record review , conferences, supervisory visits and review of aggregated data. o… more
- WMCHealth (Hawthorne, NY)
- …calendar intervals and ad-hoc analyses related but not limited to: + Medical practice financials. + Professional billing revenue cycle reporting for historical and ... other performance statistics. + Physician and Mid-level provider productivity, utilization , patient referrals, Benchmarking. + Routine revenue integrity audits. +… more
- Bassett Healthcare (Cooperstown, NY)
- …admissions and transfers as well as overcoming delays and obstacles at Bassett Medical Center and throughout the network. Acts as a primary liaison between all ... to prioritize bed allocation resources to determine placement based on medical needs. Clinical and Technical Responsibilities. Provides centralized one-call service… more
- WMCHealth (West Nyack, NY)
- …of the comprehensive needs assessment performed by the Care Manager through extensive medical record review , face to face and/or telephonic encounters with ... Ambulatory Care Manager Company: Bon Secours Charity Medical Group City/State: West Nyack, NY Category: Nursing/Nursing Management Department: Admin - Orange County… more
- Mount Sinai Health System (New York, NY)
- …illnesses. + Documents findings and plan of care in the patient's medical record. + Consults with physician according to established standards, policies, procedures, ... approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion...staff according to the rules and regulations of the Medical Staff and the bylaws of the Hospital Staff.… more
- Educational Alliance, Inc. (New York, NY)
- …the current level of treatment, corresponding with LOCADTR and utilization review instruments. + Coordinate integrated services with medical , mental health, ... and addressed with the client. + Coordinate integrated services with medical , mental health, housing, vocational, recovery services, and other social service… more