- Molina Healthcare (Syracuse, NY)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
- Catholic Health Services (Melville, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical documentation. Works… more
- Mohawk Valley Health System (Utica, NY)
- …of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance ... PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The...of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non-sufficient for… more
- New York State Civil Service (Rochester, NY)
- …No Agency Addiction Services and Supports, Office of Title Hourly Physician Assistant (Norris ATC) Occupational Category Health Care, Human/Social Services Salary ... NY Zip Code 14620 Duties Description Under the supervision of a licensed physician , the Physician Assistant will perform the following:* Complete medical… more
- New York State Civil Service (Tupper Lake, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Physician Assistant Occupational Category Health Care, Human/Social Services Salary Grade 23 ... care andservices under the direct supervision of a licensed physician . Typical duties will include:* Caring for the acute...- in a residential setting* Works with psychiatrist to review his consultations of patients with treatment team. Provides… more
- New York State Civil Service (Orangeburg, NY)
- NY HELP No Agency Addiction Services and Supports, Office of Title Clinical Physician 1 or 2 - HOURLY (Blaisdell ATC) Occupational Category Health Care, Human/Social ... hours.*Serve as health advisor to multi-disciplinary team; provide consultation/peer review to other physicians/clinicians; supervise nurse practitioner; actively participates… more
- CenterLight Health System (Ridgewood, NY)
- …PURPOSE: Under the direction of the Chief Medical Officer, the Site Physician is responsible for the professional, organizational, and administrative aspects of ... team meetings. + Develops and participates in the Utilization Review of medical services provided by CLHC/DTC. + Develops...+ Must have a Medicaid Provider ID and a Medicare Provider ID in good standing. Physical Requirements Individuals… more
- Intermountain Health (Albany, NY)
- **Job Description:** Patient Account Associate II Credit Balance and Account Review Job Profile Summary Provides extraordinary care to our customers through ... (GED) required . **Two (2)+ years of experience in hospital or physician insurance related activities (Billing & Follow-Up) required** . Knowledge of Medicaid… more
- Intermountain Health (Albany, NY)
- …(GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up, Collections) required + Knowledge ... of Medicaid and Medicare billing regulations required **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers… more
- Humana (Albany, NY)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, … more