• Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    … regarding correct level of care and reimbursement. Apply knowledge of utilization review , discharge planning, patient status changes, length of stay, ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides… more
    Mohawk Valley Health System (07/09/25)
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  • Authorization Specialist

    WMCHealth (Port Jervis, NY)
    …checks. . Obtain, validate and interpret clinical documentation including orders, H&P, physician progress notes, review lab results, radiology results, assuring ... Authorization Specialist Company: Bon Secours Community Hospital City/State: Port...financial responsibility, insurance or authorization issues ensuring a positive patient/ physician experience through transparency. . Performs eligibility checks on… more
    WMCHealth (08/19/25)
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  • Per Diem - Behavioral Health Specialist

    Stony Brook University (Stony Brook, NY)
    Per Diem - Behavioral Health Specialist **Position Summary** At Stony Brook Medicine, our Behavioral Health Specialist : + Orients patients to treatment setting ... with team, monitors mental status and reports progress or changes routinely to nursing/ physician staff. + Takes a primary role in maintaining a safe, therapeutic… more
    Stony Brook University (06/04/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    …safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... STGi is currently seeking a Primary Care Physician to provide services at our Community Based...Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in of areas… more
    STG International (08/08/25)
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  • Academic Student Support Specialist

    CUNY (New York, NY)
    Academic Student Support Specialist **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of Harlem, New York, is the only medical school ... offers an accelerated BS/MD degree (7-year program) and a Physician Assistant Master's Degree (27 months program). True to...Student Affairs is currently seeking a Academic Student Support Specialist . This position will play a primary role in… more
    CUNY (06/03/25)
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  • Clinical Denials & Appeals Specialist…

    Northwell Health (Melville, NY)
    …level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective ... plus specialized certifications as needed. Preferred Skills 3-5 years experience in Utilization Review , Case Management, and Clinical Appeals. 3-5 years of… more
    Northwell Health (08/20/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... 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… more
    STG International (07/09/25)
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  • Primary Care Physician (PCP)

    STG International (Dunkirk, NY)
    …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... STGi is currently seeking a Primary Care Physician to provide services at our Community Based...Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in of areas… more
    STG International (07/02/25)
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  • Primary Care Physician (PCP) - PRN

    STG International (Auburn, NY)
    …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... STGi is currently seeking a Primary Care Physician to provide services at our Community Based...Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in of areas… more
    STG International (06/27/25)
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  • Credentialing Specialist -ONSITE

    WMCHealth (Hawthorne, NY)
    Credentialing Specialist -ONSITE Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business ... Internal Applicant link Job Details: Job Summary: The Credentialing Specialist -Provider Enrollment position acts as a liaison between providers,… more
    WMCHealth (06/18/25)
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