- Molina Healthcare (Yonkers, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Manhattan, NY)
- …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
- Molina Healthcare (Yonkers, NY)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Centene Corporation (New York, NY)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
- Hackensack Meridian Health (Paramus, NJ)
- … dictations/notes + Actively listen to all conversations pertaining to patient care between the clinician and other healthcare providers, patients, family, ... for ensuring that they assist physicians with all patient care . Cannot perform MA and scribe duties simultaneously for...and document relevant information into the EMR + Document clinician and patient encounters into EMR + Seek out… more
- Hackensack Meridian Health (Hackensack, NJ)
- …caregivers in all areas of Oncology /Radiation Oncology services in the HMH Health care system. This pertains to Prior Authorization for Oncology services, as ... specialized services ordered by clinical caregivers which may require prior approvals to avoid loss of revenue for both...treatment and authorization status in appropriate format for vendor review . + Provide clarification to clinical care … more
- Planned Parenthood of Greater New York (New York, NY)
- …are the employees who empower every individual with the information, resources, and care they need to live happy, healthy lives. Picture yourself here: We are ... a team of trusted health care providers, educators, and fierce advocates committed to advancing... (100%) + Reviews patient's medical and social history prior to procedure or exam to ensure complete medical… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …clinical and interpersonal skills, and be a highly motivated, empathetic, team player. Prior experience in melanoma clinical care and research is welcome but ... a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care ...for exemption can take up to two weeks to review . Vaccination or an approved medical exemption is required… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …Ensures the clinician possess the necessary skills appropriate to patient care in their respective care unit. Ensures that all providers maintain ... Summary The Associate Chief of Medicine andSpecialty Care is both a supervisor as well as...cycle, or missing equipment.- Oversight of Performance Improvement/Quality Assurance/Utilization Review and evaluation to ensure that the four dimensions… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …(MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ... for exemption can take up to two weeks to review . Vaccination or an approved medical exemption is required...oncology, hematologic malignancies, subspecialty medicine and supportive and acute care services. Offering a range of services both in… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …(MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ... on to pursue our mission at MSK and around the globe. Please review important announcements about vaccination requirements and our upcoming EHR implementation by… more