- Independent Health (Buffalo, NY)
- …years of experience working in a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. ... + Knowledge of ICD-10-CM and ICD-10-PCS coding systems , as well as respective reimbursement methodologies associated with each coding system preferred. +… more
- New York State Civil Service (Tupper Lake, NY)
- …Ordering appropriate treatment regimens and maintaining monthly orders using the e-prescribing system and working with the contracted long term care pharmacy * ... reflecting current medical issues and treatments* Updating the supervising physician/Medical Director on acute problems or unresolved chronic issues affecting the… more
- New York State Civil Service (Commack, NY)
- …Ordering appropriate treatment regimens and maintaining monthly orders using the e-prescribing system and working with the contracted long term care pharmacy * ... reflecting current medical issues and treatments* Updating the supervising physician/Medical Director on acute problems or unresolved chronic issues affecting the… more
- CP Unlimited (Carmel, NY)
- …and OPWDD regulations. Completes follow-up responses for internal reviews, OPWDD, pharmacy audits, and Plans of Corrective Action within the timeline required. ... Rights, Departmental, and specially arranged meetings/committees. + Coordinate with the pharmacy to ensure medications have current orders, refills are submitted,… more
- Takeda Pharmaceuticals (Manhattan, NY)
- …access to Takeda's IG portfolio. You will report to the Region Business Director . How you will contribute: *Achieve sales quotas and goals through growing product ... with multiple teams (Marketing, Patient Services, Alternate Site Team, Integrated Health Systems , Market Access, and National Accounts) to ensure high levels of… more
- Molina Healthcare (Albany, NY)
- …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... Maximizes use of information from multiple sources, including claims/encounters, pharmacy , utilization management, clinical indicators, industry benchmark, and/or survey/vendor… more
- The Arc Mid-Hudson (Kingston, NY)
- …(Greene County locations and one in Columbia County). Under the direction of the Director of Nursing (DON), the Sr. RN must possess, pursue and have an understanding ... following: + Assist the DON with developing and maintaining systems to ensure the provision of optimal nursing service...The Arc Mid-Hudson and other service providers, such as pharmacy , local hospitals, rehabilitation centers, etc. + Serve as… more
- Outreach Development Corporation (Brentwood, NY)
- …as required. + Work with Agency psychiatrist regarding client medication and pharmacy refills to insure prescriptions are filled/re-filled in a timely manner; ... the need for physical exam or other health services. + When requested by the medical director the LPN may be present during physical exams Who You Are: + Must be a… more
- Independent Health (Buffalo, NY)
- …coordination of clinical review with appropriate internal stakeholders and Medical Director . This position will prepare written responses to appeals and ... on measurement and evaluation of clinical appeal data, assist in continuously developing systems , workflows, and coverage criteria to better meet the needs of the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy , Registered Dietitian and Respiratory Therapist + Accepts responsibility ... Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and coordination… more
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