- Evolent (Albany, NY)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... 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… more
- Catholic Health Services (West Islip, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. We are committed to caring for Long Island. Be ... The Associate Chief Medical Officer at Good Samaritan University Hospital is a physician who possesses a current, unrestricted license to practice medicine in the… more
- Mount Sinai Health System (Long Island City, NY)
- …plans are not required to be countersigned by a physician . **PRINCIPLES DUTIES AND RESPONSIBILITIES** **CLINICAL PRACTICE** **EDUCATION REQUIREMENTS** Licensure: ... (3-hour course). c.Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3600 hours...Ability to interpret and apply principles of nursing research utilization . + Ability to manage and coordinate a patient… more
- Fresenius Medical Center (Brooklyn, NY)
- …Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. ... appropriate labs; reporting and forwarding of lab results to appropriate physician . + Maintains competency with all emergency operational procedures, and initiates… more
- Nuvance Health (Poughkeepsie, NY)
- …Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology ... from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned… more
- Catholic Health Services (Roslyn, NY)
- …compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, resource ... and denials. + Serves as a resource to physicians, physician advisors, CM department, and hospital staff. + Collaborates...resolution of issues. + Refers cases and issues to Physician Advisor in compliance with identified procedures and follow-up… more
- Crouse Hospital (East Syracuse, NY)
- …protocols and activities to improve patient access and care. Ensures efficient utilization of all resources. Provides leadership, supervision and motivation of all ... with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems. + Work closely with… more
- Mount Sinai Health System (New York, NY)
- …and treatments plans are not required to be countersigned by a physician . **Qualifications** **EDUCATION REQUIREMENTS** 1. Licensure: New York State License with ... course). 5. Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3600 hours...Ability to interpret and apply principles of nursing research utilization . 5. Ability to manage and coordinate a patient… more
- BronxCare Health System (Bronx, NY)
- …electronic format. Collaborating with the Department Denial and Appeals Coordinators, Physician Advisors, and the clinical staff, the Appeal Manager is responsible ... the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and… more
- WMCHealth (Port Jervis, NY)
- …. Obtain, validate and interpret clinical documentation including orders, H&P, physician progress notes, review lab results, radiology results, assuring all ... financial responsibility, insurance or authorization issues ensuring a positive patient/ physician experience through transparency. . Performs eligibility checks on… more
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