- Molina Healthcare (NY)
- …elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and consistent data interpretation. + ... play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of CMS...retrieval chase lists by helping identify and validate source data required for medical record collection. This is an… more
- WMCHealth (Valhalla, NY)
- …NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non- Clinical Department: Strat & Ntwrk Devmnt-WMCHealth Union: No Position: ... and Network Development Department, you will play a key role in shaping data -driven decision-making across the organization. You will be responsible for building and… more
- Mount Sinai Health System (New York, NY)
- …a critical role in optimizing healthcare operations by leveraging data analytics, process improvement methodologies, and technology-driven solutions. This position ... strong analytical background and experience in healthcare systems engineering, data analytics and process improvement. **Qualifications** **Education Requirements** +… more
- Evolent (Albany, NY)
- …candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, ... Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings. + Extract, manage, and… more
- UHS (Johnson City, NY)
- …requirements, including appropriate venipuncture site with respect to vein access. + Performs data entry for test orders in the EHR; Ensure diagnosis codes meet ... Medical Necessity requirements. Acquires consent forms, prior authorization data and/ or ABN's when applicable. + Demonstrates ability to organize and prioritize… more
- GMHC (New York, NY)
- …Planning In collaboration with and under the guidance of the Clinical Supervisor, conduct comprehensive mental health assessments to evaluate presenting symptoms, ... impressions, and develop appropriate treatment plans. This process includes: + Clinical Interviews: Engaging clients in structured and unstructured interviews to… more
- University of Rochester (Rochester, NY)
- …determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity ... Develops, manages, delivers, and monitors an evaluation process for Program(s). Performs data analysis and generates summary reports that depict the strengths and… more
- Mount Sinai Health System (New York, NY)
- …coordinating information and continuing care requirements. 2. Collaborates with other clinical staff to resolve issues impacting patients' care progression. 3. ... (when applicable). 5. Works as liaison with MH Providers, patients and clinical staff to connect patients with relevant internal/external resources. 6. Provides… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …Essential Job Functions + Oversees accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans, in accordance with ... that allow capture of resources provided on the MDS, clinical trends that impacts resident care, and any additional...Medicaid + Ensures timely electronic submission of all Minimum Data Sets to the state data base.… more
- Kids First (Queens, NY)
- Rbt Queens, NY Part Time Clinical Services Experienced Share (https://kidsfirstservices.applytojob.com/app/share/Znj5OYLZ45) Company Overview At Kids First, we're on ... fostering transparent communication with supervisors, accurately collecting and managing data , and engaging in continuous training and assessments. Additionally, you… more