- Evolent (Albany, NY)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...MD review process to reflect appropriate utilization and … more
- Evolent (Albany, NY)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...MD review process to reflect appropriate utilization and … more
- Albany Medical Center (Albany, NY)
- …AMHS, including reviewing medical record documentation and coding to assess compliance with related rules and regulatory requirements, and to identify ... ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide… more
- Bassett Healthcare (Cooperstown, NY)
- …in accordance with standard operating procedure to support reimbursement and regulatory compliance and patient care. When appropriate prior authorizations ... best quality of life possible. What you'll do The Medical Assistant I serves as the first point of...obtained and documented appropriately within the referral. Performs chart review in preparation for providers clinic. Makes best effort… more
- Meta (New York, NY)
- …Ensure adherence to defined standards in order for Meta to maintain legal and regulatory compliance 15. Create & facilitate presentations to support execs / ... project plans for supported program(s) 4. Support execution of risk and compliance related activities including statutory risk assessments, regulatory requests… more
- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD ... reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...review process to reflect appropriate utilization and … more
- UHS (Norwich, NY)
- …(UHS) Chenango Memorial Hospital is seeking a versatile Clinical and Clerical Medical Office Assistant to support both patient care and administrative functions in ... rooms-while also handling front-office duties including scheduling, patient check-in, and medical record management. At UHS, we know that every connection matters.… more
- Evolent (Albany, NY)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Physical Medicine and Rehab you will be...MD review process to reflect appropriate utilization and … more
- IQVIA (New York, NY)
- …and conduction of advisory boards. + Consult with physicians, pharmacists, and other medical professionals, in compliance with relevant laws and regulations, to ... Our collaborative teams play a vital role in ensuring that biopharmaceuticals, medical devices, patient support services reach those who need them. We offer… more
- Stony Brook University (Stony Brook, NY)
- LPN- 19North Medical Oncology - Day Shift **Position Summary** **At Stony Brook Medicine, the T&R Center Licensed Practical Nurses provides nursing care to assigned ... each patient's needs. * Interviews patients and records their medical history and physical condition. * Obtains patient vital...allows us to accurately track expiration dates and ensure compliance . If your BLS certification is set to expire… more