- Adelphi University (Garden City, NY)
- Clinical Placement Coordinator Job Department/School College of Nursing and Public Health FT/PT/Temp Full time Location Garden City, NY Clinical Placement ... Coordinator for Nursing and Informatics Graduate Programs College of...the position, candidate's work experience, education/training, key skills, internal peer equity, as well as market and organizational considerations… more
- Mount Sinai Health System (New York, NY)
- …third party payers, accrediting bodies, insurance /PBM companies, government peer review organizations, accrediting bodies,external partners, and referring ... Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts… more
- New York University (New York, NY)
- …into action through policy and best practices. We are seeking a full time Coordinator to join our team. This position will support a range of projects related ... York State mental health and substance use agencies. For instance, the Coordinator may support the Managed Care Technical Assistance Center (MCTAC), an initiative… more
- New York University (New York, NY)
- …hire a talented and motivated individual to serve as a full time senior coordinator . This position will support a range of projects related to behavioral health ... State mental health and substance use agencies. For instance, the Senior Coordinator may support the Managed Care Technical Assistance Center (MCTAC), an initiative… more
- Highmark Health (Albany, NY)
- …and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy programs with a ... report improper coordination of benefit billing practices through paid claims review . + Complete other assigned duties as specified. **QUALIFICATIONS:** **Minimum**… more
- Rochester Regional Health (Rochester, NY)
- …with the patient's insurance company providing any necessary documentation. Schedules peer to peer with provider if necessary. + Document ... function. + May need to attend the weekly/quarterly meetings with physicians to review procedures and case load. + Daily verification of add on cases performed… more
- Mount Sinai Health System (New York, NY)
- …evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary ... HELP, AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's… more
- Highmark Health (Buffalo, NY)
- …**JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, conducts ... (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review . Ensures all accurate information is entered at the onset of the… more
- Highmark Health (Albany, NY)
- …the department. + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing ... and report improper coordination of benefit billing practices through paid clams review . + Participate as pharmacy representative in onsite member appeals and… more
- UHS (Johnson City, NY)
- …like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more