- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This… more
- Valnet Freelance (New York, NY)
- …is always seeking talented, passionate contributors who can deliver compelling, high-quality content on deadline. Your Responsibilities + Contribute a minimum of 4 ... 2 years of experience in producing entertainment and related content . + In-depth familiarity with and fierce passion for...Experience with SEO practices. + Experience with a custom CMS , preferred. How to Apply If you are interested… more
- Sumitomo Pharma (Albany, NY)
- …& onboarding, and logistics and orchestration operations. + Lead development of IT system user requirements, data elements, and user interface design for CRM and ... + Process-oriented, ability to create process maps and flows. + Project management skills including the ability to break down initiatives into detailed steps… more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the level of ... Monitor observation and the application of the 2nd Midnight across payor types ( CMS regulation). + Perform concurrent review and escalation of cases not meeting… more
- Bassett Healthcare (Oneonta, NY)
- …child and elder abuse and neglect, domestic violence and complex care management (when appropriate). Adherence to established Conditions of Coverage for the Center ... for Medicare & Medicaid services ( CMS ) for End Stage Renal Disease (ESRD) dialysis clinics. Core Social Worker Functions (applies to all Social Workers)… more
- Mohawk Valley Health System (Utica, NY)
- …quality and revenue cycle operations. The coder assigns International Classification of Disease system - 10 (ICD), CM, and PCS codes according to AHA - AMA ... Guidelines, CMS and NGS. Core Job Responsibilities + Assign diagnosis...required. Education/Experience Requirements Required: + AS in Health Information Management , a related degree or equivalent experience +… more
- Trinity Health (Albany, NY)
- …will be responsible for auditing documentation, scrubbing and submitting data to meet CMS regulatory requirements. + The Quality/Nurse Educator also works as part of ... a team to support our field clinicians through education, clinical mentoring, coaching and Quality-driven activities. **What you will need:** + NYS RN Licensure + Bachelor's degree in a health related field required, Master's Degree preferred. + Minimum of 2… more
- Mohawk Valley Health System (Utica, NY)
- …for disasters identified in the HVA/risk analysis. + Collaborate with the management team in the creation, development, education, training, and implementation of ... with staff to implement safety/ regulatory education (eg, Hospital Incident Command System ). + Serve as the facility specialist on alert and notification systems… more
- Mohawk Valley Health System (Utica, NY)
- …Human Resources, make decisions or recommendations related to performance management , hiring, transfers, corrective actions, terminations, etc. Resolve staff issues ... required. Education/Experience Requirements REQUIRED: + Bachelor's degree in Health Information Management , a related degree, or equivalent work experience. + 5… more
- Amentum (Albany, NY)
- …trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS, Business Objects, and other related platforms. + ... Prepare analytical summaries, memoranda, charts, and data visualizations to support case development and litigation. + Summarize transaction histories and flag suspicious activities for follow-up. + Evaluate allegations of fraud and provide recommendations to… more