- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …MSK Surgery and its fellowship programs. + Build strong collaborations with peer Department Chairs, SKI leadership, and external academic partners to drive ... + Exceptional communication, consensus-building, and stakeholder engagement skills; eligibility for medical licensure in New York State. **Core Skills:** + Strategic… more
- Healthfirst (NY)
- **Duties//Responsibilities:** + **The Medical Peer Reviewer will assess// review requests for authorization, and claims payment, based on medical ... information and make informed clinical judgments and recommendations.** + **The Medical Peer Reviewer will render determinations in the format and… more
- Elevance Health (Latham, NY)
- …clinical guidelines and supports new policies based on changes in the healthcare or medical arena. + Conducts peer -to- peer clinical reviews with attending ... **Plan Performance Medical Director- New York Commercial** Location: This role...physicians or other providers to discuss review determinations. + May conduct peer -to-… more
- Evolent (Albany, NY)
- …payers. Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the ... under the auspices of the office of the Chief Medical Officer. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : include the...patients as directed by the office of the Chief Medical Officer. Responsible for clinical conversations with providers and… more
- Elevance Health (New York, NY)
- …an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and supportive care. + Perform ... physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical ...necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer -to- peer … more
- Chenega Corporation (Niagara Falls, NY)
- …+ Abide by and follow IAW, Privacy Act and HIPPA + Participate in MEPS local, medical peer reviews. + Use Philosophy Known as "Red Carpet Treatment" + Comply ... A 1099 INDEPENDENT CONTRACTOR POSITION** The **Physician** shall perform medical histories, physical examinations, as well as review... medical histories, physical examinations, as well as review of required medical tests and documents… more
- Koniag Government Services (Albany, NY)
- …+ Abide by and follow IAW, Privacy Act and HIPPA + Participate in MEPS local, medical peer reviews. + Use Philosophy Known as "Red Carpet Treatment" + Comply ... and more. The Physician is responsible to perform a review of military service applicants' medical histories,...perform a review of military service applicants' medical histories, perform medical evaluations, and conduct… more
- Chenega Corporation (Niagara Falls, NY)
- …+ Abide by and follow IAW, Privacy Act and HIPPA + Participate in MEPS local, medical peer reviews + Use Philosophy Known as "Red Carpet Treatment" + Comply with ... medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to consultations and medical histories… more
- Mount Sinai Health System (New York, NY)
- …chairs, division chiefs and CMOs across the system on all matters related to medical staff governance, credentialing, peer review and performance management; ... **Job Description** **Director Medical Affairs Operations- Medical Staff Services -Full-Time...credentialed providers; + Development and maintenance of a system peer review process that is inclusive of… more
- Molina Healthcare (Buffalo, NY)
- …License, free of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review , medical policy/procedure development, provider contracting ... treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * Supports BH committees for...for quality compliance. * Implements clinical practice guidelines and medical necessity review criteria * Tracks all… more
- Molina Healthcare (Albany, NY)
- …Administration, Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- UHS (Binghamton, NY)
- Position OverviewThe Peer Support Specialist provides peer support, information, and advocacy to individuals diagnosed with a serious and persistent relevant ... or equivalent Preferred: + Not Applicable License/Certification Minimum Required: + Peer Support Specialist Certification or obtain certification within twenty four… more
- Concern For Independent Living (East Patchogue, NY)
- Peer Recovery Specialist About the Organization Concern Housing is a non-profit agency committed to helping individuals and families to live in the community with ... fully develop and utilize each person's talent and strengths. Position Peer Counselor Full-Time/Part-Time Full-Time and/or Part-Time Location East Patchogue, NY… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Peer Specialist Department: Behavioral Health Location: SLH - GH Main (40) Hours Per Week: 40 Schedule: Monday - Friday; Days, 8:00AM - 4:30PM or 9:00AM - ... 5:00PM SUMMARY: Peer Specialists are fully integrated team members who promote...advocacy skills + Participate in staff meetings and treatment review meetings with PROS team, MD and NP. +… more
- BriteLife Recovery (West Kill, NY)
- Certified Recovery Peer Advocate (CRPA) Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... join our dynamic team. The CRS will play a crucial role in providing peer support, mentoring, and advocacy for individuals navigating the challenges of substance use… more
- Touro University (Central Islip, NY)
- …the DPT Director. Responsibilities + Tutor students individually or in small groups + Review materials covered in class + Review homework assignments + Prepare ... which includes: + Full range of Health Plans + Medical Plans (choice of EPO, PPO, High Deductible HSA)...national origin, ancestry, sex (including pregnancy, childbirth or related medical condition), age, disability, medical condition, marital… more
- Highmark Health (Albany, NY)
- …**ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...service. Depending on the nature of the case, telephonic peer to peer discussions may be required.… more
- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful impact… more
- Albany Medical Center (Albany, NY)
- …(DHIVM) offers comprehensive HIV services including primary medical care, medical case management, medication adherence, peer services, substance abuse ... reports abnormal values to treating provider* Documents components of patient's history ( Medical , Surgical and Social) in EHR* Obtains and documents a patient's… more
- Highmark Health (Buffalo, NY)
- …OVERVIEW: * Receive, review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician ... review are provider and member requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of … more
