- City of New York (New York, NY)
- …to case file are error- free; utilizes available resources to identify computer systems and Quality Assurance errors and takes appropriate and timely action ... level of functioning and self-sufficiency by providing comprehensive, integrated, individualized clinical and supportive services. CAS works with other components of… more
- Humana (Albany, NY)
- …Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, ... then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3… more
- Catholic Health Services (Port Jefferson, NY)
- … clinical activities and interventions accurately and completely. Participates in quality improvement and medication use review activities of the department ... of the top hospitals on Long Island in the delivery of high quality care. This non-profit hospital features three centers of excellence: Maternal/Child services,… more
- Datavant (Albany, NY)
- …bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system , ... and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of… more
- Rochester Regional Health (Rochester, NY)
- …from the Center to affect optimal patient outcomes, achieve continuity and quality of care, reduces cost and provide customer satisfaction. Provides assistance to ... facilitates appropriate resources. Communicates with third party payors, follows Health System policies and procedures, and assist with continually improving the … more
- Catholic Health Services (Roslyn, NY)
- …and medications, and provides direct patient care services, as well as Clinical Support for the General Surgery Service Line Initiatives in collaboration with ... a graduate of a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant Bachelor's Degree required;… more
- Bassett Healthcare (Milford, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse IV, Ambulatory ... guidelines. Performs and documents Point of Care (POC) testing and quality control in accordance with established laboratory policies and procedures. Maintains… more
- Albany Medical Center (Albany, NY)
- …of direct critical care experience preferred * Experience in the field of Clinical Social Work or Nursing with experience in Case Management, Utilization Review ... and Discharge Planning. * BLS Certification. * Demonstrated clinical competency in a nursing or allied health specialty. Previous experience in education program… more
- WellLife Network (Jamaica, NY)
- …housing, and employment support, all grounded in a commitment to compassionate, high- quality care. Central to our mission is an unwavering dedication to diversity, ... psychiatrists, dentists and other providers of medical services. Ensures that clinical consults are completed appropriately prior to and following medical… more
- City of New York (New York, NY)
- …PHBP Unit and stored in MAVEN, the electronic surveillance and case management system . Confirm and submit electronic reports of perinatal hepatitis B infections to ... the Centers for Disease Control and Prevention. Monitor quality of data received and update missing data by...missing data by importing data from electronic laboratory reports, clinical disease reports, the NYC immunization registry and health… more