- Arnot Health (Elmira, NY)
- …related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... practice. The Case Manager will work cooperatively with the Physician Advisor and Team. DUTIES AND RESPONSIBILITIES: ** 1....and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN)… more
- Catholic Health Services (Rockville Centre, 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 ... complete assigned reports and provide accurate and timely information for review by the Director of Reimbursement or their designee. DUTIES/RESPONSIBILITIES:… more
- HCR Home Care (Rochester, NY)
- …computer software. Notify staff, as appropriate, to ensure proper coordination of care. + Review and approve all interim orders before they are sent to physician ... route to Medical Records to be sent to the physician for signature. Ensure any corrections are made by...MRS is unable to retrieve the unsigned order. + Review and follow-up on entitlement verification issues. + Verify/Ensure… more
- Fresenius Medical Center (North Tonawanda, NY)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy ... the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- Rochester Regional Health (Rochester, NY)
- …of the Medical Management Department to maintain daily operations. Oversees the daily review process of the third party payors ensuring information is tracked and ... maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party payors with oversight from the Director… more
- Bassett Healthcare (Oneonta, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... other staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....or films related to appointment are available for the physician at the time of the appointment using available… 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 ... that other Behavioral Health medical directors reviewing pediatric cases review those cases in accordance with Company policies. +...+ Must hold a NYS medical license as a physician board certified in child and adolescent psychiatry without… more
- CenterWell (Clifton Park, NY)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… more
- New York State Civil Service (Monroe, NY)
- …reviews, and residential habilitation. Develop and present individuals' cases to review committees which include Human Rights Committee, Informed Consent Committee, ... case reviews, and residential habilitation.* Develop and present individuals' cases to review committees which include: HRC, ICC, and LRMC for approval. Participate… more
- New York State Civil Service (Middletown, NY)
- …Administer medications and treatments.* Order medications and medical supplies.* Review and transcribe physician 's orders.* Complete semi-annual nursing ... conditions manifested by individuals and report such symptoms or changes to a physician or registered nurse in order to provide information useful in diagnosis and… more