- Insight Global (New York, NY)
- Job Description Insight Global is hiring a fully remote Physician Reviewers for a leading health insurance company. The Physician Reviewer will review requests ... they use the right templates to keep everything consistent. Physician Reviewers also talk directly with doctors when needed...clinical practice can be flexible - 1+ years of utilization review experience in a managed care plan (health… more
- STG International (Auburn, NY)
- STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The general duty of the Primary Care ... Physician is to provide covered professional outpatient primary medical...in quality improvement, care management, risk management, peer review, utilization review, clinical outcomes, and health enhancement activates. *… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the largest ... quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible...for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of… more
- St. Mary's Healthcare (Amsterdam, NY)
- …ago. St. Mary's Healthcare is seeking a compassionate and dedicated Family Medicine Physician to join our expanding primary care team. This full-time position offers ... home. As a vital part of our multidisciplinary healthcare team, the Family Medicine Physician will play a key role in diagnosing and managing acute and chronic… more
- WMCHealth (Suffern, NY)
- Physician Company: Good Samaritan Hospital City/State: Suffern, NY Category: Physicians Department: Chemical Dependency Union: NO Position: Per Diem Hours: days, ... for each encounter . Works with administrator regarding policy and procedure, utilization , and productivity . Meets Psychiatric Core Measures accurately and timely .… more
- St. Mary's Healthcare (Amsterdam, NY)
- …work-life balance + 20,000+ Annual Emergency Department visits + 24 hours of physician coverage daily (12-hour shifts) + 20 hours of APP coverage daily (NP/PA ... - Board Certified/Board Eligible Emergency Medicine, Internal Medicine, or Family Medicine Physician (with EM experience) licensed (or eligible for licensure) in the… more
- University of Rochester (Rochester, NY)
- …staff, nursing, echocardiology, and /or surgeons.) As well as room utilization , ancillary tests, laboratory studies and required testing equipment. Facilitate ... pertinent medical information at the time of call from patient, referring physician and/or other health care professionals. Evaluate urgency of response and… more
- Healthfirst (NY)
- …Peer Reviewer will: + Maintain productivity standards. + Collaborate with Utilization Management and Care Management and medical departments as needed, reviews ... in Internal Medicine or Family Practice + Previous, relevant experience in utilization management and clinical practice + Knowledge of Medicare, Medicaid, and MLTC… more
- Elevance Health (New York, NY)
- …state mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of utilization requests for procedures and ... of clinical case reviews for their board certified specialty. + Makes physician to physician calls to gather medical appropriate information in order to make… more
- Northwell Health (Staten Island, NY)
- …166750 Job Description Serves as liaison between the patient and facility/ physician . Ensures a continuum of quality patient care throughout hospitalization and ... delays and resolves issues with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. +… more
Recent Jobs
-
Sandwich Line Opening
- Chicken Salad Chick (Coralville, IA)
-
Delivery Associate-West Broad
- Southern States Cooperative, Inc (Richmond, VA)
-
Program Manager, Discharge Planning-HSO Skilled Nursing Facility Transfers -Full Time
- Mount Sinai Health System (New York, NY)
-
Executive Communications Vice President
- JPMorgan Chase (New York, NY)