- Pfizer (Pearl River, NY)
- …of the clinical studies within the assigned program. + Set the clinical data review strategy and lead the clinical sciences team in the collection of quality data ... and review of emerging clinical data and trends; reviews and...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… 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 ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- New York State Civil Service (Middletown, NY)
- …and therapeutic programs, and serves on committees such as placement, utilization review , medical records review , and related committees, as required.May prepare ... 3 (and all parenthetics), Nurse Practitioner (and all parenthetics), Physician Assistant, Psychologist 1, Psychologist 2, Rehabilitation Counselor 1, Rehabilitation… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …limited to; completion of forms, prescription refills according to physician protocols, sending referrals, communication with patients, obtaining prior ... authorizations, and chart review . + Responsible for organization, cleaning, and re-stocking of...+ Conduct research visits as per study protocol. + Review and discuss study protocol procedures with the patient… more
- Kelly Services (Rochester, NY)
- …Description** The Pharmacy Prior Authorization Technician performs initial-level processing and review of prior authorization requests for both pharmacy and medical ... + Issue verbal and written notifications to members as required + Review and interpret prescription and medical benefit coverage (including Medicare D); document… more
- Evolent (Albany, NY)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Veterans Affairs, Veterans Health Administration (Northport, NY)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... completed work may require routine or detailed higher level review depending upon the complexity of the duties involved....practices or procedures may be subject to closer higher-level review . GS-6 Completion of at least one (1) year… more
- City of New York (New York, NY)
- …by accident, by suicide, suddenly when in apparent health, when unattended by a physician , in a correctional facility or in any suspicious or unusual manner or where ... Office of Administrative Trials & Hearings, unions, and other partners. - Review disciplinary actions and labor-related issues, providing guidance to supervisors and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Review and evaluate outpatient take-home medications to assure the appropriateness and medical necessity of medication use based on established ... and payers, including managed care companies, insurance companies, and review organizations. Ensure completion of activities that maximize revenue capture… more
- Mount Sinai Health System (Elmhurst, NY)
- **Job Description** Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured ... protocols and third party requirements regarding coding and billing documentation. Review and code patient encounters in EPIC with appropriate CPT, ICD-9CM,… more