- Highmark Health (Albany, NY)
- …reviewing corrective action plans. Key responsibilities include performing routine and non -routine audits of clinical information, assessing medical policy ... and assesses content of correction action plans + Conduct routine and non -routine audits of clinical information, medical policy adherence, consistency of… more
- Elevance Health (New York, NY)
- …provider appeals of coverage decisions. + Provides support and education to internal clinical and non - clinical staff regarding the principles associated with ... ** Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery**...specific position is based on a number of legitimate, non -discriminatory factors set by the Company. The Company is… more
- Grifols Shared Services North America, Inc (Albany, NY)
- Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...with key opinion leaders. Position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Immunology/Neurology/Acute… more
- Elevance Health (Syracuse, NY)
- …in the healthcare or medical arena.** **Leads, develops, directs and implements clinical and non - clinical activities that impact efficient and effective ... company health plan including the overall medical policies or clinical guidelines of the plan to ensure the appropriate...specific position is based on a number of legitimate, non -discriminatory factors set by the Company. The Company is… more
- UPMC (Jamestown, NY)
- …assignments that gradually increase patient load and complexity. + Actively engages in clinical development of all members of the healthcare team. Requests ... APP begins to demonstrate a commitment to the community and to their healthcare profession. _The successful candidate will be placed according to years and months… more
- Mount Sinai Health System (New York, NY)
- …ethical principles into decision making for patient and family in collaboration with the clinical nursing staff and the healthcare team. + Fosters a spirit of ... the management, assessment, planning, coordination, implementation and evaluation of clinical and educational activities, including orientation, staff development and… more
- Mount Sinai Health System (New York, NY)
- …a program management perspective for the improvement of quality, operational or clinical effectiveness. The Project Manager III focuses on new initiatives to ... integrate clinical innovation and operations. This individual reviews, analyzes, and...preferred: MPA, MPH, MBA. + 5-7 years experience in healthcare operations or consulting. Operational healthcare experience… more
- Rochester Regional Health (Rochester, NY)
- …shadowing on the unit; act as a resource for other team members for both clinical and non - clinical matters EDUCATION: BS: Nursing (Required) LICENSES / ... At Rochester Regional Health, we are dedicated to getting healthcare right. Our robust benefits and total rewards foster...a Registered Nurse Level IV, you will leverage your clinical expertise and leadership skills to develop and implement… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …II (in addition to Level I Accountabilities) + Leads, develops, directs and implements clinical and non - clinical activities that impact health care quality ... surgical services at first level, appeal and inquiries. + Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …materials + Answering and responding to telephone calls, e-mails, etc. as long as they are non - clinical in nature + Other non - clinical duties as assigned ... Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates...external regulatory commitments. + FEP specific: functions assigned to non -care managers are monitored by the care manager +… more