- Helio Health Inc. (Syracuse, NY)
- …$45.00 per hour. Responsibilities + Work under the supervision of the Nurse Manager , Service Director and/or Program Director and follows medical orders for patient ... make referrals for medical services. + Develop, recommend, and review medical policies and procedures for all programs within...Mental Hygiene law in coordination with the Medical Director/Nurse Manager . + Implement and carry out a medically based… more
- IQVIA (New York, NY)
- …deliverables. May perform role of Data Team Lead (DTL), Program Lead, Customer Site Manager , and/or a leadership role in a specific CDM task (eg, Subject Matter ... Ensure appropriate resources are assigned to meet project deliverables. + Create and/or review and sign-off on all data management plan (DMP) documents. + Ensure… more
- CSL Plasma (Cheektowaga, NY)
- …to the Assistant Manager Quality **The Role** + Perform final QA review and release for all shipment and associated documents, to ensure shipment meets customer ... Opportunity** This position provides immediate support to the Assistant Manager of Quality in monitoring plasma center processes to...specifications. + Ensure center records QA review to ensure thoroughness, accuracy and timeliness of required… more
- CGI Technologies and Solutions, Inc. (Buffalo, NY)
- …of the daily activities of mail open, cashier, image capture, image review , data entry, bookprint, quality control, customer service functions such as searches, ... processing work functions (mail open, cashier, image capture, image review , data entry, book print/card print, quality control and...PRISM or Customer Service * Notify the Passport Support Manager of any problems or issues with staff adherence… more
- Gateway Hudson Valley (Kingston, NY)
- …sheets, Narc administration sheet, Consults. + Report concerns to the Residential Manager or Senior Counselor. + Monitor daily medication administration as assigned ... to ensure accuracy and report any issues to the Residential Manager or Senior Counselor. + As assigned by the Residential Manager or Senior Counselor, complete… more
- Catholic Health (Buffalo, NY)
- …insurance /managed care/utilization review experience in the role of a Case Manager or Disease Manager , Population Health, Discharge Planning or Chronic Care ... 7:30am to 5:30pm/8:00am to 6:00pm Summary: The RN Care Manager , Transition of Care, as an active member of...case management and discharge planning principles, the RN Care Manager , Transition of Care engages the patient/patient representative in… more
- Sunrise Senior Living (Staten Island, NY)
- …neighborhood. Responsibilities include but not limited to championing the designated care manager concept and the universal care manager model throughout the ... Sheet development and monitor ongoing processes and practices. + Review the resident's file and schedules the Family Meeting...in performing and evaluating needs of the residents. + Review clinical alerts to document and learn about pertinent… more
- University of Rochester (Rochester, NY)
- …paid claims through final resolution and adjudication, including refund of credits + Review and advise supervisor or manager on trends of incorrectly paid ... claims from specific payers + Work with supervisor/ manager on communication to payer representatives regarding payment trends...the account to a self-pay financial class after a review of previous efforts has not resulted in revenue… more
- Trinity Health (Albany, NY)
- …Practice Management to identify educational opportunities as necessary. + Responsible for review of denial/ rejections and write off dashboards for trends and ... to identify any outbound referrals and communicate back to Manager for any improvement opportunities + Ensures all billable..."Clean Claims" + Works within the working queue to review all charges and submit to claims scrubber +… more
- Molina Healthcare (Syracuse, NY)
- …validates accuracy of complex reports and automated configuration processes/solutions + Assist manager in establishing peer review standards and methodology + ... at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct secondary pricing logic and compliance… more