• Nursing Supervisor- BMC Ortho, Surgery, ENT, Eye…

    Bassett Healthcare (Cooperstown, NY)
    …assist in departmental quality assurance, performance improvement, and regulatory compliance activities under the direction of the Medical Director/Chief, Director, ... seminars, presentations and in-services for Caregivers, utilizing appropriate Bassett Healthcare personnel; conducts an annual assessment of the educational needs… more
    Bassett Healthcare (08/21/25)
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  • Licensed Behavior Analyst

    Genesis Healthcare (Southampton, NY)
    …interventions to prevent harm to both the client and the individual. COMPLIANCE : 1. Complies with applicable legal requirements, standards, policies and procedures ... including but not limited to those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False...Salary Range USD $65.00 - USD $65.00 /Hr. Genesis HealthCare , Inc. and all affiliated entities (collectively "Genesis") has… more
    Genesis Healthcare (08/08/25)
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  • Registered Nurse (RN) - Clinical Regulatory…

    Rochester Regional Health (Rochester, NY)
    Job Title: RN - Clinical Regulatory ComplianceDepartment: Clinical Regulatory Compliance Location: Newark Wayne Hospital (also floating to Clifton) Hours Per Week: ... regulatory, accreditation and certification activities to achieve and sustain ongoing compliance . Takes action to assure timely and complete preparation, support and… more
    Rochester Regional Health (07/08/25)
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  • CM Delegation Liaison

    Molina Healthcare (Buffalo, NY)
    …conducts, and documents pre-delegation, ongoing and annual assessments to determine compliance with delegated functions. * In conjunction with enterprise delegation ... tracks corrective action plans for any delegates identified as out of compliance with delegated responsibilities including timely follow-up actions related to the… more
    Molina Healthcare (09/05/25)
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  • Registered Nurse

    KPH Healthcare Services, Inc. (Watertown, NY)
    …multidisciplinary team for the best patient/customer outcomes, education, instruction and compliance of patients. The RN delivers care to patients/customers as ... ventilators and oximeters + Nurse/Clinician will play an active role in compliance to meet insurance guidelines while promoting a healthy sleep lifestyle. +… more
    KPH Healthcare Services, Inc. (08/08/25)
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  • Associate Director of Clinical Education

    St. Mary's Healthcare (Amsterdam, NY)
    St. Mary's Healthcare has been named a 2025 Times Union Top Workplace. We are the first acute care hospital in the Capital Region to earn the distinction since the ... Manage education department budgets and resources for educational programs. + Regulatory Compliance and Safety : Ensures that care is provided that is consistent… more
    St. Mary's Healthcare (07/26/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (Syracuse, NY)
    …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... + Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes and identify… more
    Molina Healthcare (07/24/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Rochester, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. + Analyzes… more
    Molina Healthcare (09/05/25)
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  • Representative, Medication Therapy Management…

    Molina Healthcare (Rochester, NY)
    …for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring members to ... technicians to meet departmental and CMS standards. + Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information… more
    Molina Healthcare (09/05/25)
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  • Care Review Clinician, PA (RN) Transplants

    Molina Healthcare (Albany, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. + Analyzes… more
    Molina Healthcare (08/31/25)
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