- Cognizant (Albany, NY)
- …guidelines and regulations. * Experience in the analysis and processing of claims, utilization review /quality assurance procedures. * Must be able to work with ... * A minimum of 1 year claims processing is required. * Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 *… more
- Bassett Healthcare (Cooperstown, NY)
- …Bassett Healthcare Network. This clinical position works in conjunction with the physician and/or staff and has the authority to prioritize bed allocation resources ... unit (patient requiring a bariatric bed, special equipment, interpreter svc, etc.). Review previous patient history and updates CL with key patient attributes… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and… more
- Albany Medical Center (Albany, NY)
- …our patients' needs. + Collaborate with Risk Management, Patient Relations, Utilization Management, Case Management, and Quality Management about potential problems ... resolution of conflict. + Participate in case presentation in Complex Care Review to seek interdisciplinary input regarding challenging cases. + Participate in and… more
- UHS (Johnson City, NY)
- …nursing practice and the delivery of health care services. + RESOURCE UTILIZATION : Evaluates and administers the resources of nursing services. Position Requirement ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- Pfizer (New York, NY)
- …of flexible resources + Be accountable for continuous improvement and identification/ utilization of new capabilities to maximize the competitive advantages of the ... received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- CBRE (Albany, NY)
- …clinical planning support for healthcare and related facilities, including physician practices, ambulatory care centers, and hospitals. **What You'll Do:** ... Calculate departmental and room-level square footage using industry benchmarks and utilization data + Build programming options that align with healthcare… more
- UHS (Johnson City, NY)
- …in professional organizations locally, regionally or nationally. + Promote utilization of specialty knowledge from the standards of specialty professional ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- Cardinal Health (Albany, NY)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Wolters Kluwer (Albany, NY)
- …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... on the front lines of clinical care. Our talented team of physician editors, technologists, and product visionaries collaborate to provide advanced clinical decision… more