• Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... queries from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record,… more
    Catholic Health Services (07/24/25)
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  • Registered Nurse (RN) - Utilization

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time)Schedule: Monday - Friday, ... as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial management as… more
    Rochester Regional Health (08/02/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …clinical practice in a hospital strongly preferred. Two years administrative background as physician manager preferred. Previous experience as a physician ... department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees.… more
    Catholic Health Services (06/27/25)
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  • Physician Support Coord IV

    University of Rochester (Rochester, NY)
    …improvement to increase utilization and/or ease of scheduling to access center manager and practice manager . + Acts as subject matter expert and information ... internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Oversees and directs Physician Support employees in their assigned divisions. Assigns and… more
    University of Rochester (08/07/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic. The general duty of the Primary Care Physician ... care system. + Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC clinicians. +… more
    STG International (08/08/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    THIS IS FOR A FUTURE OPENING 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...procedures and suggest improvements. + Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
    STG International (07/09/25)
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  • Primary Care Physician (PCP)

    STG International (Dunkirk, 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...and procedures and suggest improvements. *Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
    STG International (07/02/25)
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  • Primary Care Physician (PCP) - PRN

    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...procedures and suggest improvements. * Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
    STG International (06/27/25)
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  • Medical Director Physician Engagement…

    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
    Mount Sinai Health System (06/03/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …**Responsibilities:** GENERAL SUMMARY Under the direct supervision of the Practice Manager , Clinic Director and Nurse Manager works with considerable ... the time and effort of providers by reviewing reports such as Clinic Utilization , Master Templates and the volume of Referrals. + Develops, enforces and continuously… more
    University of Rochester (08/07/25)
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