• Registered Nurse (RN) - Utilization

    Rochester Regional Health (Rochester, NY)
    …able to work independently with minimum direction. + Act as a resource for utilization review stakeholders and assists team members in clinical problem solving. ... Location: Rochester General Hospital Hours Per Week: 40 hours ( Full -Time) Schedule: Monday - Friday, Days SUMMARY: Review...to payers/audits. + Participates in periodic denial meetings with Physician Advisors to review the denials that… more
    Rochester Regional Health (12/31/25)
    - Related Jobs
  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …specialist regarding correct level of care and reimbursement. Apply knowledge of utilization review , discharge planning, patient status changes, length of stay, ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides… more
    Mohawk Valley Health System (01/06/26)
    - Related Jobs
  • OR Program Director/ Physician Associate…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Exciting Opportunity for OR-Experienced Physician Assistants!** Join The Mount Sinai Hospital and become an operational leader. Gain hands-on ... with this incredible opportunity! The Program Director is a credentialed Physician Assistant (PA), responsible for daily operations of _all_ surgical sub-specialties… more
    Mount Sinai Health System (12/16/25)
    - Related Jobs
  • Clinical Physician 2 (NY Helps)

    New York State Civil Service (West Haverstraw, NY)
    …care and high-quality clinical outcomes. Participation in quality improvement, utilization review , and clinical documentation integrity initiatives. Willingness ... Yes Agency Health, Department of - Helen Hayes Hospital Title Clinical Physician 2 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary Grade… more
    New York State Civil Service (12/12/25)
    - Related Jobs
  • Clinical Physician 2

    New York State Civil Service (West Haverstraw, NY)
    …care and high-quality clinical outcomes. Participation in quality improvement, utilization review , and clinical documentation integrity initiatives. Willingness ... Yes Agency Health, Department of - Helen Hayes Hospital Title Clinical Physician 2 Occupational Category Health Care, Human/Social Services Salary Grade 36… more
    New York State Civil Service (12/13/25)
    - Related Jobs
  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... THIS IS FOR A FUTURE OPENING STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The… more
    STG International (01/06/26)
    - Related Jobs
  • Remote UM Physician Reviewer

    Insight Global (New York, NY)
    …preferred - 5-6+ years of clinical practice can be flexible - 1+ years of utilization review experience in a managed care plan (health care industry) - Licensed ... Reviewers for a leading health insurance company. The Physician Reviewer will review requests for care...diverse and inclusive environments where people can bring their full , authentic selves to work every day. We are… more
    Insight Global (12/28/25)
    - Related Jobs
  • Primary Care Physician (PCP) - PRN

    STG International (Auburn, NY)
    …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... STGi is currently seeking a Primary Care Physician to provide services at our Community Based...Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in of areas… more
    STG International (12/26/25)
    - Related Jobs
  • Nurse Practitioner - ADS Telemetry - Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …interprets the clients responses to the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion but not less than ... Nurse Practitioner- ADS Telemetry - Mount Sinai Hospital - Full Time - Night** A nurse practitioner (NP) as...standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed… more
    Mount Sinai Health System (01/03/26)
    - Related Jobs
  • Nurse Practitioner - Klingenstein 3 NICU - Mount…

    Mount Sinai Health System (New York, NY)
    …interprets the clients responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. 4.… more
    Mount Sinai Health System (12/26/25)
    - Related Jobs