- 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
- Nuvance Health (Carmel, 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
- Highland Hospital (Rochester, NY)
- …review processes and professional practice evaluation. + Facilitation of assigned Clinical Service Quality Committees and event investigation to assure ... **17560BR** **Title:** Quality Improvement Coordinator - Senior **Department/Cost Center:** 776 - Quality Assurance **Job Description:** Highland Hospital is… more
- MVP Health Care (Tarrytown, NY)
- …improvement. To achieve this, we're looking for a **Professional, Sub-Acute RN UM Reviewer - Medicare** to join #TeamMVP. If you have a passion for patient-centered ... advocacy, clinical precision and regulatory compliance this is an opportunity...ensure optimal patient care and resource utilization. + Document review outcomes and maintain compliance with regulatory and organizational… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …+ Collect, abstract, and enter data for research projects, databases, and/or protocols ( clinical trials). + Ensure data quality and integrity throughout the life ... Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of… more
- CVS Health (Albany, NY)
- …coordination, and strategic reporting to align local efforts with state and national quality goals. **Key Responsibilities** ** Clinical Review & Compliance** ... clinical expertise with quality improvement leadership, including clinical documentation review , Performance Improvement Projects (PIPs), ANE oversight,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …diagnosis and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual ... benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the diagnosis and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual ... benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental… more
- Evolent (Albany, NY)
- …utilization management with collaborative engagement and innovation. **Core Responsibilities** + ** Clinical Review & Peer Collaboration** + Serve as the ... obtain). + Demonstrated **leadership in practice transformation, value-based care, or clinical quality improvement** . + Strong communication, collaboration, and… more