- New York State Civil Service (Harriman, NY)
- …each assigned home weekly (minimally) to provide nursing oversight and complete review of items. * Interacts with primary, medical specialists, various clinical ... day program, IES, residential staff. * Annually for everyone in your caseload, completes: review of medical section ISP, medication audit (each home). * Keeps up to… more
- New York State Civil Service (Queens Village, NY)
- …subsidies.* Maintain knowledge and understanding of OPWDD policies and procedures. Review ADM's, Protocols, Policies and Procedures as released and conduct training ... delivery systems. * Assist and Participate in any Regional Office Quality Review and Quality Assurance as related to OPWDD service authorization * Participate… more
- New York State Civil Service (Albion, NY)
- …conduct and complete accurate record reviews of OMH records * Prepares record review reports for assigned satellite and mental health units and disseminates them to ... Assists in preparing units for Joint Commission accreditation through record review , providing environmental suicide risk assessments and leading tracers* Will… more
- Calvary Hospital (Bronx, NY)
- …overall on-boarding process for patients admitted onto hospice program. + Review /verify admission information- data + Managers team for designated territories, ... of pre-admission documentation needs + Ensure visit schedule is generated + Review referral information; identify resources necessary for patient admission + Ensure… more
- New York State Civil Service (Washingtonville, NY)
- …each assigned home weekly (minimally) to provide nursing oversight and complete review of items.* Interacts with primary, medical specialists, various clinical staff ... day program, IES, residential staff.* Annually for everyone in your caseload, completes review of medical section ISP, medication audit (each home)* Keeps up to date… more
- New York State Civil Service (Albany, NY)
- …to provider questions the RN3 will be expected to research and review all applicable regulations, relevant OPWDD programmatic policies, and work collaboratively with ... licenses.* Work collaboratively with OPWDD's Talent, Development and Training to: Review existing health and safety trainings in the Statewide Learning Management… more
- Cardinal Health (Albany, NY)
- …data analytics and the revenue cycle team in identifying the time period of review and conducts a focused audit to identify any financial liability of the Company. ... facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines;...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Ankura (New York, NY)
- …payer/provider disputes, and acquisition due diligence, among others. Responsibilities: + Review , analyze, and code diagnoses based on information in a patient's ... + Drafts clear and concise analyses of medical record review and coding findings + Ensures successful completion of...in claims processing procedures, state and federal regulations, and Medicare Part D requirements. + Excellent written and verbal… more
- New York State Civil Service (West Seneca, NY)
- …of vehicles within the assigned region with 4G cameras and GPS systems.- Review incoming correspondence and reports to determine their significance; prepare responses ... for supervisor review .-Respond to questions or refer complex issues to appropriate...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
- Humana (Albany, NY)
- …for chart reviews for the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to engage providers and members to ... (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization… more