- New York State Civil Service (NY)
- …a wide variety of records. * Peer review . LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all ... as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; *… more
- UHS (Johnson City, NY)
- …communication skills and a thorough understanding of insurance requirements. You'll review clinical documentation to confirm it meets agency and payer standards ... in data processing + Certified home care and/or utilization review work experience Why You'll Love Working at UHS...space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes… more
- Molina Healthcare (Rochester, NY)
- …Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
- UHS (Johnson City, NY)
- …and payment options. + Research insurance claim denials for outpatient encounters, review denial codes to identify causes, update records accordingly, and support ... space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes...you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity,… more
- UHS (Binghamton, NY)
- …weekly hours. Job Responsibilities: + Assist in the development, preparation, and review of preliminary and final annual operating budgets; support the creation of ... space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes...you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity,… more
- Pfizer (New York, NY)
- …build efficient and optimized sales structures, reporting alignment and geographies. + Review CDM program alignments to accommodate changes due to business need, to ... operations position and/or developmental role with demonstrated leadership across peer and manager groups. + Experience with mapping software (JTD/Regiograph/Other)… more
- UHS (Binghamton, NY)
- …plan summaries, unallocated payment logs, and EPIC work list updates. + Review account credits and request patient refunds when appropriate, ensuring compliance with ... space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes...you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity,… more
- Weill Cornell Medical College (New York, NY)
- …+ Creates and maintains budgetary policies and guidelines. Researches industry and/or peer data for comparison and to implement best practices. Ensures budgets and ... Works with grants and clinical trials administrators to ensure funding and review expenditures. + Develops and maintains financial reports, including budget vs.… more
- STG International (West Seneca, NY)
- …safety. * Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... and participate in the recruitment, and orientation of clinical staff physicians, physician assistants and nurse practitioners. * Collaborate with the CBOC Clinic… more
- Mount Sinai Health System (Brooklyn, NY)
- …professional practice environment through facilitation of collegial interdisciplinary relationships, peer review , nursing research, innovation and joint practice ... Care. 4. Confirms that staff members round hourly on all patients by review of rounding validation data and observation of unit rounding. 5. Validates Associate… more