- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical Reviewer will be responsible for the collection and review ... support of a high performing health plan and physician network. The Clinical Reviewer will investigate quality complaints/grievances and appeals, document… more
- Catholic Health (Buffalo, NY)
- …payers) and internal stakeholders including, but not limited to, Utilization Review , Case Management, Clinical Documentation Integrity, Health Information ... Acute Care Hospital Setting + Experience working within Utilization Review or Case Management or Clinical Documentation...within Utilization Review or Case Management or Clinical Documentation Integrity or + Experience in working with… more
- Independent Health (Buffalo, NY)
- …coding guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records, consultation with ... and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing coding and … more
- Kaleida Health (Buffalo, NY)
- …Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding data.The CDS facilitates ... ** Clinical Documentation Specialist** **Location:** **Larkin Bldg @ Exchange...care team. The CDS is also responsible for audit review to identify potential documentation deficiencies in specific records… more
- Catholic Health (Buffalo, NY)
- …communication. Familiarity with concepts, theories, and procedures of a clinical microbiology laboratory including microorganisms, their habitats, and their ... significance in clinical specimens. Clinical Laboratory Technologists may also...duties include operational functions such as patient and QC review , log sheet review , emergency scheduling, communications… more
- Kaleida Health (Buffalo, NY)
- …and insurance / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG denial management required. **Working ... **Director Clinical and DRG Denials** **Location:** Larkin Bldg @...Full-Time **Shift:** Shift 1 Job Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership… more
- General Physicians PC (Buffalo, NY)
- #25-0666 Buffalo, NY, USA Job Description RN - Clinical Operations Educator Join General Physician, PC - Your Gateway to a Fulfilling Nursing Career! Are you a ... Registered Nurse (RN) with a passion for clinical education and has experience in outpatient/doctors office settings? General Physician, PC, one of Western New… more
- Niagara County Community College (Sanborn, NY)
- Position Information Position Title Part Time Nursing Clinical Instructor Position Category Faculty Position Status FLSA Exempt Advertised Salary $860 per lab hour ... Niagara has an immediate need for part-time Nursing Instructors to teach in clinical areas of fundamentals (nursing home) 6.5 hours per week, Ortho/Neuro 12.5 hours… more
- Molina Healthcare (Buffalo, NY)
- …identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill ... Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical... review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review … more
- Catholic Health (Buffalo, NY)
- …while upholding guiding behaviors, standards and adherence to Core Values. Clinical Laboratory Technologists may also perform duties of Charge Technologists when ... upon provided they have six (6) years of experience as a Clinical Laboratory Technologist. Charge Technologist duties include operational functions such as patient… more
- Catholic Health (Lewiston, NY)
- …while upholding guiding behaviors, standards and adherence to Core Values. Clinical Laboratory Technologists may also perform duties of Charge Technologists when ... upon provided they have six (6) years of experience as a Clinical Laboratory Technologist. Charge Technologist duties include operational functions such as patient… more
- Kaleida Health (Cheektowaga, NY)
- ** Clinical Documentation Specialist HC** **Location:** **Home Care-VNA Erie County** **Location of Job** **: US:NY:Cheektowaga** **Work Type** **: Full-Time** ... **Job Description** **Under direction of the department manager, this position completes review of OASIS documents, physician orders including the plan of care, as… more
- Catholic Health (Buffalo, NY)
- …they have four (4) years of experience as a Clinical Laboratory Technologist/Histotechnologist. Charge Technologist duties include operational functions such ... as patient and QC review , log sheet review , emergency scheduling, communications...related discipline required CREDENTIALS + Must have valid NYS Clinical Laboratory Technologist license or Certified Histological Technologist or… more
- Highmark Health (Buffalo, NY)
- …the database for reporting purposes (20%) 3. Responsible to efficiently coordinate the clinical review process with contracted external review companies in ... Inc. **Job Description :** I. GENERAL OVERVIEW: * Receive, review and make determinations regarding physician reviewer ...clinical information * effective communication with the external review liaison to address questions or issues * The… more
- Molina Healthcare (Buffalo, NY)
- **Job Summary** Reporting to the Director of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the ... analyzing data to measure and monitor department initiatives. Additionally, the Clinical Informatics Data Analyst will actively participate in planning, developing,… more
- ThermoFisher Scientific (Grand Island, NY)
- …site management in accordance with site SOPs and regulatory guidelines. **Role:** Clinical Study Coordinator **Location:** New York, NY **Please Note:** this is an ... systems. + Could assist with patient recruitment, identification, or chart review tasks. + Scheduling participant study visits, visit reminders, and diary… more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery… more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are ... medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated… more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Job SummaryProvides non- clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting ... * Provides telephone, clerical and data entry support for the care review team. * Provides computer entries of authorization request/provider inquiries, such as… more
- Molina Healthcare (Buffalo, NY)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... in consistent and efficient manner. + Makes appropriate referrals to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care… more