- YesCare Corp (Coxsackie, NY)
- …required. Provides monthly in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as requested. Sponsors ... physician assistants or nurse practitioners as required. + Notifies...Participates in all quality improvement measures including sentinel event review . + Actively participant of the Utilization Review… more
- Evolent (Albany, NY)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Rochester Regional Health (Rochester, NY)
- …continually looking for ways to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately ... handle claim adjustments and coverage changes as needed. + Review and process claim denials according to established processes. Research and resolve denial issues… more
- Arnot Health (Elmira, NY)
- …of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding physician issues related to auths/denials. 9. Provide ... Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective authorization and… more
- Fresenius Medical Center (Camillus, 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 ensure… more
- WellLife Network (South Richmond Hill, NY)
- …medical pre-admission evaluations and screening of prospective clients. + Review and update persons with disabilities pre-admission evaluation within thirty ... (30) days of placement. + Review monthly the medication record of each resident for...interactions, contraindications, rationality and laboratory test modifications; advises the physician of any medication errors and indicated changes. +… more
- Cardinal Health (Albany, NY)
- …guidance related to customer contracting (GPOs, IDNs, hospitals, physician offices, etc.), strategic sourcing, marketing, regulatory/compliance and contract ... for customer contracting matters, including Group Purchasing Organizations, IDNs physician offices and others + Support cross-functional business teams, including… more
- Rochester Regional Health (Rochester, NY)
- …Sterilization department in maintaining the flow of instruments between departments. + Review and confirm patient's medical history and note changes in medical ... record and review with the staff dentist supervising the patient's care...physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY… more
- Nuvance Health (Poughkeepsie, NY)
- …anesthesia, neonatology, and obstetricians to ensure the highest quality of care. * Review basic practices around the plan of care and develop protocols that are ... providing care to patients. * Attend daily huddles to review the plan of care for all patients in...and 5,000+ employed doctors, including members of Northwell Health Physician Partners - are working to change health care… more
- OLV Human Services (Lackawanna, NY)
- …staff, as well as team meetings to share best practices, policy updates, review OPWDD regulations and any additional supports. 7. Provides education on medical ... to: oversite, management and achieving effective outcomes for audits, treatment plans, physician orders, and all other associated compliance needs. 12. Review … more