- Evolent (Albany, NY)
- …+ Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering ... related to the Utilization Management process, interpretation, guidelines and/or system support . + On a requested basis, may function as Medical Director… more
- City of New York (New York, NY)
- …is to achieve exceptional investment outcomes for all stakeholders; to deliver outstanding support to plan Trustees; and to serve as a responsible steward of the ... possibly presenting at annual Diverse and Emerging Manager Conference, assist with peer inquiries and industry research regarding due diligence software, assist with… more
- Highmark Health (Westfield, NY)
- …on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role. + Considers ... develop clinical and professional skills and knowledge. + Participates in systematic peer review and obtains informal feedback regarding one's own practice from… more
- Trinity Health (Syracuse, NY)
- …policies while following all federal, state, and local medical policy guidelines. * Initiate Peer to Peer 's with payer while working closely with providers and ... clinical staff to obtain letters of Medical Necessity to support reimbursement. * Monitors all authorization work queue for pending or expiring authorizations. *… more
- Rochester Institute of Technology (Rochester, NY)
- …2 of 4 Aug 2021 Orientation, require full staff participation. + Actively support the graduate training program through design and delivery of didactic training ... Teamwork and Professional Development. + Participate in CaPS staff meetings, peer consultation group, IHS Case Collaboration. Attend CaPS supervisory meetings. +… 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, ... to the Utilization Management process, interpretation, guidelines and/or system support . . Participates in on-going training per inter-rater reliability process.… more
- Rochester Institute of Technology (Rochester, NY)
- …events, such as Student Orientation, require full staff participation. + Actively support the graduate training program through design and delivery of didactic ... Teamwork and Professional Development + Participate in CaPS staff meetings, peer consultation group, IHS Case Collaboration. Attend CaPS supervisory meetings. +… more
- Banfield Pet Hospital (Staten Island, NY)
- …seen by the hospital team through a productive and efficiently run hospital to support the needs of our wellness plan clients. + Provide professional, efficient and ... - As individuals, we demand total responsibility from ourselves; as associates, we support the responsibility of others. + Mutuality - A mutual benefit is a… more
- TD Bank (New York, NY)
- …solutions + Consistently builds out own learning consulting and design capability to support a learning centre of expertise; Provides peer coaching to peers ... L&D projects, including evaluation, maintenance, train-the-trainer, facilitation and program support recommendations. The Financial Crime Risk Management Training Specialist… more
- Medtronic (Queens, NY)
- …for physicians, residents, and surgical staff on surgical product applications. + Support Resident Labs, MedEd courses, RPEs (Regional Peer Education), and ... our long history of mission-driven innovation, our medical technologies open doors. We support your growth with the training, mentorship, and guidance you need to… more