- Humana (Albany, NY)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... (oral and written) + The ability to work independently and on a team + Knowledgeable with the Patient Accounts System(s): Eagle, MEMS, Trac/On-Trac, Cirius, FSS,… more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. ... or conflicting documentation . Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.… more
- Humana (Albany, NY)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare ...May also engage in grievance and appeals reviews. Some medical directors may join a centralized team … more
- Humana (Albany, NY)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- New York State Civil Service (Schenectady, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade ... Balltown Road City Schenectady State NY Zip Code 12304 Duties Description The Medical Specialist 2 provides primary medical care, working in collaboration with… more
- New York State Civil Service (Queens Village, NY)
- …as needed to facilitate medical follow-up after discharge.* Maintains medical documentation consistent with agency, State and Federal requirements.* ... HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade… more
- Bassett Healthcare (Oneonta, NY)
- …direct supervision of an onsite physician, the Wellness Nurse will perform the Medicare Annual Wellness Visit for Medicare Part B beneficiaries. An ... patient needs. The Wellness Nurse acts as a resource for the Medicare patient population, primary care, population health and quality teams. Provides coordination… more
- Evolent (Albany, NY)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your ... (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD… more
- Evolent (Albany, NY)
- …(URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...will be a key member of the utilization management team . We can offer you a meaningful way to… more
Recent Searches
- Part Time No Weekend (United States)
- RN Psych CBHC Administration (Massachusetts)
- restaurant attendant (United States)
Recent Jobs
-
Material Clerk I
- Safran (Carson, CA)
-
Production Operator (Extruder/Pelletizer)
- Spartech (Naperville, IL)