- Humana (Albany, NY)
- …group practice management + Utilization management experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how… more
- Humana (Albany, NY)
- …and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Molina Healthcare (Yonkers, NY)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... concurrent review , discharge planning, case management and interdisciplinary care team...License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health,… 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 (Bronx, NY)
- NY HELP No Agency Addiction Services and Supports, Office of Title Clinical Physician 1 or 2 (Hourly - Bronx Addiction Treatment Center) Occupational Category Health ... Serve as health advisor to multi-disciplinary team; provide consultation/peer review to other physicians/clinicians; supervise nurse practitioner; actively participates… 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 (Brooklyn, NY)
- …HELP No Agency Addiction Services and Supports, Office of Title Physician Assistant, HOURLY (Kingsboro ATC) Occupational Category Health Care, Human/Social Services ... NY Zip Code 11221 Duties Description Under the supervision of a licensed physician , the Physician Assistant will perform the following:* Complete medical… more
- New York State Civil Service (West Brentwood, NY)
- NY HELP No Agency Addiction Services and Supports, Office of Title Clinical Physician 1 or 2 - HOURLY (CK Post 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
- 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