• Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. + Collaborates with CM and ... to Physician Advisors through annual performance evaluation. + Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs). +… more
    Catholic Health Services (09/26/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the ... care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with… more
    Mohawk Valley Health System (10/07/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …prior to implementation of discharge plan + Collaborates and makes referrals to physician advisor when unable to resolve issues with attending physician ... physician , nurse or ancillary staff member. Make appropriate referral to physician advisor regarding trends/areas of concern + Proactively monitors patient… more
    Ellis Medicine (10/24/25)
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  • RN/Case Manager-MSH-Case Management-FT-Days

    Mount Sinai Health System (New York, NY)
    …to reduce readmission rate. h. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... standardized criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and… more
    Mount Sinai Health System (10/29/25)
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  • CHS Utilization and Appeals Coordinator

    Catholic Health Services (Melville, NY)
    …Manage Care Payors or regulatory agencies, as needed or requested. + Manages physician advisor reports and assists with facilitating UM Committee reviews when ... 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… more
    Catholic Health Services (09/09/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …patients across the continuum. + Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care based on medical necessity ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $33.50… more
    Rochester Regional Health (10/24/25)
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  • Director-Care Mgmt

    Catholic Health Services (Roslyn, NY)
    …skills to ensure timely resolution of issues. + Refers cases and issues to Physician Advisor in compliance with identified procedures and follow-up as indicated. ... resource utilization and denials. + Serves as a resource to physicians, physician advisors, CM department, and hospital staff. + Collaborates with all disciplines… more
    Catholic Health Services (10/10/25)
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  • Nurse Case Manager - FT Days

    Nuvance Health (Poughkeepsie, NY)
    …and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the ... Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology… more
    Nuvance Health (09/28/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …in matters of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding physician issues related to auths/denials. ... 9. Provide insurance companies with requested patient information as needed. 10. Maintains a working knowledge of programs necessary for denial management (ie: excel, word, QCPR, Sorian, InterQual, eCW) 11. Maintains files and all letters of non-coverage. 12.… more
    Arnot Health (08/08/25)
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  • Office Coordinator

    Nuvance Health (Rhinebeck, NY)
    …medical information from insurers and other sources to the case managers and physician advisor . * Obtains Medicaid & Managed Medicaid Authorization for patient ... transportation. * Edits and approves PI payroll. * Manages department calendars. * Tracks and monitors department expenditures and reconciles expenses and vouchers. * Maintains and Models Nuvance Health Values. * Demonstrates regular, reliable and predictable… more
    Nuvance Health (10/25/25)
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