- Mount Sinai Health System (New York, NY)
- …to enhance an interdisciplinary approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion but not less ... plan of care in the patient's medical record. + Consults with physician according to established standards, policies, procedures, and protocols. + Initiates… more
- Catholic Health Services (Rockville Centre, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... resources to patients and/or their caregivers. + Responsible for accurate and timely review of discharged medications in the acute care areas. + Interviews patients,… more
- Pfizer (New York, NY)
- …from these studies will be used to inform vaccine recommendations and utilization of licensed PCVs and the development and licensure of next-generation PCVs. ... and secondary analyses of real-world data. + Author and review study protocols, reports, presentations (internally and at scientific...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- New York State Civil Service (Lowville, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; *… more
- Evolent (Albany, NY)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... Medical Director direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. Acts… more
- Datavant (Albany, NY)
- …software tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and ... + Previous experience with revenue integrity functions in a hospital or large physician group setting. + Familiarity with DRG and APC reimbursement methodologies. +… more
- Rochester Regional Health (Rochester, NY)
- …of the Medical Management Department to maintain daily operations. Oversees the daily review process of the third party payors ensuring information is tracked and ... maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party payors with oversight from the Director… more
- UHS (Norwich, NY)
- …Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management, supplies, and services + Complies ... Unit Council, participating in improvement initiatives, and contributing to peer review practices + Actively engages in professional development, continuing nursing… more
- New York State Civil Service (Lansing, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment… more
- New York State Civil Service (Albany, NY)
- …experience include but are not limited to: Experience in discharge planning, utilization review , treatment plan development for individuals in community or ... of procurement documents, preparing information and documents for internal/external review and/or presentation, and development of supporting documents for the… more
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