- Rochester Regional Health (Rochester, NY)
- …patients across the continuum. + Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care based on medical necessity ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $33.50… more
- New York State Civil Service (Albany, NY)
- …be addressed through collaborative review and utilization of available data.* Serve as physician advisor to OPWDD Medical Directors and lead clinician when ... across the Division's nine Bureaus in need of the expertise of a physician including working with the Bureau Directors, the Division's Deputy Directors, the… more
- Arnot Health (Elmira, NY)
- …in matters of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding physician issues related to auths/denials. ... 9. Provide insurance companies with requested patient information as needed. 10. Maintains a working knowledge of programs necessary for denial management (ie: excel, word, QCPR, Sorian, InterQual, eCW) 11. Maintains files and all letters of non-coverage. 12.… more
- Nuvance Health (Poughkeepsie, NY)
- …and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the ... Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology… more
- Arnot Health (Elmira, NY)
- …the Case Management practice. The Case Manager will work cooperatively with the Physician Advisor and Team. DUTIES AND RESPONSIBILITIES: ** 1. Determines medical ... necessity and appropriateness of admission and stay in accordance with Interqual. ** 2. Prepares Medicare/Non Medicare hospital notices of noncoverage (HINN) when patient's level of care is no longer covered according to the guidelines. ** 3. Identifies the… more
- Kaleida Health (Buffalo, NY)
- …as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments ... and leadership to promote effective clinical validation improvement and clinical denial management system-wide. Significant influence on system quality and financial outcomes. **Education And Credentials** **Responsibilities:** Bachelor degree in health… more
- Kaleida Health (Williamsville, NY)
- …**Work Type** **: Full-Time** **Shift 1** **Job Description** **Collaborates with the physician advisor team on, but not limited to, clinical documentation ... education, query escalations, and resident training.** **Education And Credentials** **Bachelors Degree and five years of experience in a specialty or lead technician's role of an Advanced Clinical/Biomedical Engineering Department; which services all aspects… more
- L'Oreal USA (Brooklyn, NY)
- …Job Search (https://careers.loreal.com/en\_US/jobs/SearchJobs) / 212373 Skin Health Advisor Brooklyn, NY, New York Apply now ... Medical Full - Time 12-Aug-2025 Job Title: Skin Health Advisor - L'Oreal Derm Team (CeraVe, La Roche-Posay, Vichy)...dermatology health care professional calls per week (average 9 physician , physician assistant, and nurse practitioner calls)… more
- CenterWell (Hauppauge, NY)
- …help patients get back to the life they love. The RN Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by ... physician , performs ongoing evaluation of patient needs and coordinates...health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent clinical… more
- Northwell Health (Lake Success, NY)
- …deadlines, and manage multiple projects effectively. + Experience in physician billing/healthcare operations: Demonstrated experience in medical billing processes, ... coding, or healthcare operations. + Analytical skills with reporting experience: Proven ability to analyze data, interpret reports, and draw meaningful conclusions. + Project management skills: Capability to initiate, plan, execute, and close projects… more