- Monroe Community College (Rochester, NY)
- …faculty teach classes, develop new educational materials, assist with curriculum review and assessment, perform professional duties, and participate in departmental ... chairperson of the Engineering Technologies Department. Academic departments are led by a peer who serves as a department chair for a three-year term. All… more
- Evolent (Albany, NY)
- …reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- University of Rochester (Albany, NY)
- …certification status, criminal background, evaluation of health status, and peer recommendations. + Recognizes, investigates, and validates discrepancies and adverse ... information obtained during the application process to ensure review and approval bodies have information needed to make...credentialing staff as needed. + Serves as a Team Peer Interviewer as needed. Other duties as assigned. **MINIMUM… more
- Evolent (Albany, NY)
- …+ Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Elevance Health (New York, NY)
- …medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. ... and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions listed above. +… more
- Mount Sinai Health System (New York, NY)
- …4. Conducts Root Cause Analysis investigations which include assessing need for focused review by departments, and/or clinical chairpersons for peer reviews. 5. ... The Senior Risk Manager supports the Risk Management staff on how best to review risk management data, conduct Root Cause Analysis, and comply with risk management… more
- M&T Bank (Buffalo, NY)
- …experiences. **Primary Responsibilities** * Accountable for the overall code change and review process to ensure high quality and process optimization. * Apply and ... analyze metrics across teams to identify opportunities for SDLC process improvement, peer reviews, and work with teams to implement solutions. * Author organized,… more
- Monroe Community College (Rochester, NY)
- …faculty teach classes, develop new educational materials, assist with curriculum review and assessment, perform professional duties, and participate in departmental ... chairperson of the Applied Technologies Department. Academic departments are led by a peer who serves as a department chair for a three-year term. All tenure-track… more
- Monroe Community College (Rochester, NY)
- …classes; develop new educational materials; assist with curriculum development, review , and assessment; perform professional duties; and participate in departmental ... the Nursing Department. Academic departments are led by a peer who serves as a department chair for a...student retention and completion initiatives + Assists with development, review , and revision of department curriculum, including assessment of… more
- Evolent (Albany, NY)
- …reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more