- Parexel (Albany, NY)
- …Indicators (KPIs) for the process + Function as pharmacovigilance representative /safety scientist + Attend/support Bid defense meetings + Actively mentoring ... Patient Safety Physicians to develop their skills and expertise ** Case report medical review (as applicable)** + Performing medical review of cases not limited to… more
- Arnot Health (Elmira, NY)
- …to conference with other departments to bring about conflict resolution to pre - authorization problems. 14. Demonstrates the ability to be cross-trained to ... Job Description MAIN FUNCTION: Works within a team environment pre -authorizing exams for various hospital services. This position will require a degree of complexity… more
- Catholic Health Services (Melville, NY)
- …patient insurance coverage, notification to payers for non-scheduled admissions, and pre -certification/ authorization requirements via phone or through an online ... patient's insurance(s) is obtained and documented accordingly for tracking purposes. Pre -certification and authorization requirements vary by payer and… more
- Molina Healthcare (Albany, NY)
- …accurate. * Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre -work up to case preparation. * Proactively identifies ways ... (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state,… more
- University of Rochester (Rochester, NY)
- …due to cognitive barriers or medical intensity and ensure their or surrogate representative 's ultimate participation in the case management process. + Perform ... the accuracy and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are… more
- Hillside Family of Agencies (Rochester, NY)
- …Department NYSED), and Council on Accreditation (COA). + Attend admissions pre -placements to obtain medical/psychiatric history, establish health care needs, and ... complete prior authorization for medications or medical necessity based on recommendation...youth are met. + Provide nursing services, such as case finding, health teaching, health counseling, and provision of… more
