- Help at Home (Brooklyn, NY)
- …Collaborate with Operations, Intake, and Quality & Compliance teams to develop, review , and implement clinical protocols tailored to the needs of high-volume ... a growing client base exceeding 5,000 individuals and leads a multidisciplinary clinical team to deliver high- quality , cost-effective, and person-centered care… more
- Mount Sinai Health System (New York, NY)
- … Coordinator interfaces directly with MSH Departments, Administrators, Nursing, Medical and Quality leadership, and clinical staff and coordinates care for a ... within the context of the specialty program including the clinical plan of care, quality assessment and...health care team in the development, implementation, and ongoing review of policies, procedures, and standards of care for… more
- Mount Sinai Health System (New York, NY)
- … Coordinator interfaces directly with MSH Departments, Administrators, Nursing, Medical and Quality leadership, and clinical staff and coordinates care for a ... within the context of the specialty program including the clinical plan of care, quality assessment and...health care team in the development, implementation, and ongoing review of policies, procedures, and standards of care for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …I Qualifications) + A minimum of 3 years progressive HEDIS experience as per diem clinical reviewer . + Recognized as a HEDIS, QARR, and QRS hybrid subject matter ... Job Description: Summary: In constant pursuit of improving quality outcomes for the Health Plan, this position exists to retrieve and abstract data from medical… more
- Elevance Health (Latham, NY)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates...the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How… more
- HCR Home Care (Rochester, NY)
- …high- quality patient care. Essential Functions Supervises the day-to-day clinical operations (including ensuring workflow tasks are completed even during staff ... is completed including , but not limited to: + Review and follow-up on complaint forms and all QI...as assigned . + Oversee the instruction of the clinical team in providing quality service and… more
- HCR Home Care (Rochester, NY)
- …all Agency policies and procedures and follow the Employee Handbook Guidelines . + Quality : + Audit clinical records to identify trends/areas of improvement in ... daily support to field clinicians enabling them to provide quality care in the home to HCR patients. Th...Clinical assistance : + Triage incoming calls. + Audit/ Review DRRs . + Other duties as assigned. This… more
- Kelly Services (Rye Brook, NY)
- …and projects as directed. The position will ensure the highest standards for clinical data integrity and quality are maintained in alignment with critical ... and medical outcomes for oncology patients. Responsible for the collection and review of clinical protocol research data; Interpretation of data (including… more
- Nuvance Health (Highland, NY)
- …KPI's. * Holds monthly clinical meetings with providers and staff to review clinical KPI and implement/monitor process improvement plan. * Utilizes patient ... include Growth/Financial Stability, Patient Experience, Operational Efficiency, Employee Satisfaction/Culture, Quality * Demonstrates clinical expertise and serves… more
- University of Rochester (Rochester, NY)
- …criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to identify opportunities for ... to the care of the patients. Analyzes reports and clinical data to identify trends impacting quality ...- Statistical knowledge preferred - Clinical chart review and abstraction experience preferred - Quality … more