- Edwards Lifesciences (New York, NY)
- Make a meaningful difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient ... healthier lives. Join us and be part of our inspiring journey. **_Note: this Clinical Specialist will support field cases for EVOQUE (tricuspid device) in the… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... readmission. The RN following these patients must have good clinical and communication skills to address the needs of...of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited… more
- WMCHealth (Valhalla, NY)
- …and educational efforts. Tracks and reports on the effectiveness of the clinical documentation improvement program through record keeping and results analysis. ... . Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes. Acts as a lead … more
- New York State Civil Service (Central Islip, NY)
- NY HELP Yes Agency Health, Department of Title Health Systems Specialist 2 (Social Work) (NY HELPS) - 46672 Occupational Category Health Care, Human/Social Services ... NY Zip Code 11722 Duties Description With an eye toward continuous quality improvement , the incumbent will serve the Metropolitan Regional Office on our Central… more
- Trinity Health (Syracuse, NY)
- …complete documentation to ensure revenue optimization and integrity.Performs outpatient clinical documentation improvement review (acute only) as needed.Performs ... billing. Strong understanding of various medical claim formats.Knowledge of clinical documentation improvement processes strongly preferred.Strong knowledge of… more
- Trinity Health (Syracuse, NY)
- …complete documentation to ensure revenue optimization and integrity. Performs outpatient clinical documentation improvement review (acute only) as needed. ... billing. Strong understanding of various medical claim formats. Knowledge of clinical documentation improvement processes strongly preferred. Strong knowledge of… more
- Trinity Health (Syracuse, NY)
- …clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist . + Call patient with appointment ... .To be world-renowned for passionate patient care and outstanding clinical outcomes. **Core Values:** .In the spirit of good...and quality delivery of care. + Participate in quality improvement initiatives as part of the practice care team.… more
- MVP Health Care (Rochester, NY)
- …healthier future for everyone - which requires innovative thinking and continuous improvement . To achieve this, we're looking for a **Professional, BH Program ... Support Specialist ** to join #TeamMVP. If you have a passion...and follow-up on tasks and assignments + Ability to document phone calls/emails/chats in a professional manner + Ability… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes by our ... + Thorough review of claims and medical documentation. + Prepare cases for clinical review. + Resolve and provide accurate and timely responses to disputes and… more