- The Arc Erie County NY (Cheektowaga, NY)
- …and adults with disabilities and their families in achieving their desired quality of life by creating opportunities through comprehensive quality services. ... in health and medical issues, and for providing a quality of care for the students/people we support. Our...listed below Job Description Job Title: Registered Nurse Department: Clinical Services Job Grade: 5 Position Summary: The RN… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **This is a hybrid position - flexible and remote but will periodically require coming onsite** **Office is hoteling space at 150 E 42nd Street, ... data, and solve complex problems + Results-Oriented: Action-oriented, high-standard for quality , effective, and precise attention to detail + Effective Communicator:… more
- Highmark Health (Westfield, NY)
- …services. These services provide a critical stopgap for the citizens in a remote area of Western New York. **Allegheny Health Network** At AHN, employees trust ... as a licensed nurse and is accountable to patients for the quality of care delivered. **ESSENTIAL RESPONSIBILITIES:** + The registered nurse provides leadership… more
- Albany Medical Center (Albany, NY)
- …responsible for detailed reviews, projects assigned by management, and special requests to review coding for external departments such as quality management and ... Specialist (Specializing in Ambulatory Surgery) will be responsible for performing coding quality audits on staff and providing thorough education and feedback to… more
- Humana (Albany, NY)
- …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... CMD represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding job duties… more
- Humana (Albany, NY)
- …and analytics to create, optimize, measure and scale member-facing interventions. Location: remote or if close to Louisville hybrid The Program Delivery Lead is ... and delivery, working collaboratively with business owners, experience design, IT, clinical partners, and operational leaders to develop and deploy improvements in… more
- Humana (Albany, NY)
- …of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative ... + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry...protect member PHI / HIPAA information This is a remote position Travel: While this is a remote… more
- Cardinal Health (Albany, NY)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... of their products. **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …In collaboration with the Category Management team and key University stakeholders, review , analyze, and recommend enhancements to both new and existing contracts to ... Jaggaer or comparable systems. Must be well versed in quality data collection to ensure adequacy, accuracy and legitimacy...and excludes any additional items such as incentives, bonuses, clinical compensation, or other items.NYU aims to be among… more
- Mount Sinai Health System (Brooklyn, NY)
- …The Per Diem Nurse is a Registered Professional Nurse who provides safe, competent, quality care based on nursing theory and research to a designated group of ... + Bachelor of Science with a major in Nursing preferred. + Relevant clinical competence in area of nursing practice. Special skills/experience may be required in… more