- Centene Corporation (New York, NY)
- …Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. + Provides medical leadership of all ... cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality assurance, and… more
- YesCare Corp (Coxsackie, NY)
- …resuscitation and related drug therapy with certification as required by credentialing . + Supports standards of medical care through adherence to existing ... in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as...quality of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …recommendations and/or decisions on Utilization or Case Management activities. Utilization review activities include: reviews of requests for broad range of medical ... reviews with attending physicians or other providers to discuss review determinations with providers and external physicians. + Conduct...of Medicine or Doctor of Osteopathic Medicine. + The Physician is not the subject of any pending professional… more
- Bassett Healthcare (Cooperstown, NY)
- …diagnostics in accordance with established protocols as measured by physician feedback and managerial observation. Routinely provides related services as ... diagnostic areas of the department as assigned as measured by managerial review . Provides confidentiality for all patients as measured by co-worker and patient… more
- Project Renewal, Inc. (New York, NY)
- Title: Primary Care Physician - Part Time Program: Healthcare Department , Mobile Clinics Work Location: Varies; sites are located in the Bronx, Manhattan, and ... $111,000 to $120,000 depending on experience Position Overview: The Primary Care Physician working in Mobile Health is responsible for the examination, diagnosis and… more
- Guthrie (Cortland, NY)
- …and significant others on therapeutic diets and basic nutrition as prescribed by physician and surgeons. Education, License & Cert: Must have completed an associate ... of Nutrition and Dietetics. Registration with the Commission on Dietetic Registration, the credentialing agency for the Academy of Nutrition and Dietetics as a Diet… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and PH care across the UM/ CM staff. + Participates in clinical peer review recruitment and supervision. + Collaborates with Provider Relations staff to ensure an ... adequate provider network via required provider credentialing guidelines. + Participates in BH provider quality profile design and data interpretation. + Develops… more
- Humana (Albany, NY)
- …provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational ... team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE: Under general direction of a qualified physician , the vascular sonographer will perform a variety of technical ... information and medical history, and communicates findings to the appropriate physician and/or referring physicians. Generates preliminary vascular reports and relay… more
- UHS (Binghamton, NY)
- …processes. + Partner with HR Business Partners, Medical Staff Services, Credentialing , Marketing, and Onboarding to optimize the candidate-to-start process. + Lead ... environment managing complex and specialty-specific searches. Preferred: + Certified Physician /Provider Recruitment Professional (CPRP) or PHR/SHRM-CP certification. + Experience… more