- Humana (Albany, NY)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... national clinical guidelines, CMS policies and determinations, clinical ...and authorship. Exercises independence in meeting enterprise expectations and compliance timelines. This is a full-time work from home… more
- Whitney Young Health Center (Albany, NY)
- …programs at least 20 hours per year. + Maintains an acceptable level of compliance with clinical and regulatory standards including medical record ... Be a part of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible to our diverse community. WYH has a… more
- Mohawk Valley Health System (Utica, NY)
- …The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals objectives, and quality patient ... utilization of resources. The Physician Advisor guides the team to improve clinical and financial outcomes with documentation and clinical education. Core… more
- Fresenius Medical Center (Bronx, NY)
- …with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal ... Quality Improvement. + Provides developmental support to applicable clinical and facility staff. Education/Communication: + Participates in implementing… more
- Rochester Regional Health (Rochester, NY)
- …to monitor the quality of patient care and patient outcomes * Regulatory Complianceo Participates in organizational compliance audits or if delegated, holds ... as determined necessary SUMMARY:The Assistant Nurse Manager is responsible for the clinical care to patients and direct oversight of day-to-day responsibilities of… more
- Evolent (Albany, NY)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review… more
- WMCHealth (Valhalla, NY)
- …to ensure timely access to therapies + Ensure adherence to all regulatory requirements, including 340B program compliance , specialty pharmacy accreditation, and ... safety protocols + Participate in the monitoring and reporting of key clinical and operational metrics, supporting continuous quality improvement efforts +… more
- Mount Sinai Health System (New York, NY)
- …unit/service. This includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply chain and ... budget, staffing, employee performance evaluation, quality improvement, staff education, medical records,... improvement, staff education, medical records, internal and external regulatory and survey requirements. The Nurse Manager I collaborates… more
- Trinity Health (Syracuse, NY)
- …required by regulatory agency. Ideally the candidate will have strong clinical skills, leadership qualities and must be actively working toward an advanced ... shift options: 1:30pm - 10:00pm 2:00pm - 10:30pm The Clinical RN Supervisor is a dynamic leadership role that...excellent patient care. An individual in this role ensures compliance with all healthcare standards and requirements established by… more
- Trinity Health (Albany, NY)
- …the advancement of quality and safety initiatives to ensure compliance with regulatory standards, accreditation, and best practices, including medical ... and maximize resource utilization while maintaining excellence in patient care. ** Clinical Collaboration & Quality Improvement:** + Foster collaborative… more