- Catholic Health (Niagara Falls, NY)
- …New York State Professional RN license + Completion of an accredited program for Nurse Practitioners. + Maintains Adult, Acute Care or Family Nurse Practitioner ... degree preferred. EXPERIENCE + Three (3) years' experience as a Nurse Practitioner preferred. + Experience in family practice/specialty setting preferred. KNOWLEDGE,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all aspects of… more
- Catholic Health (Williamsville, NY)
- …The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , Nurse Practitioner, Physician Assistant and/or ... but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and… more
- Catholic Health Services (Melville, NY)
- Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides clinical ... leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment to providing the...staff meetings and huddles as appropriate. + Participates in Hedis , GPRO, and other quality programs as needed +… more
- CDPHP (Latham, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all aspects of… more
- Molina Healthcare (Rochester, NY)
- …diabetes, asthma, COPD, and chronic kidney disease/ESRD. Skilled in closing HEDIS , preventive care gaps through proactive outreach and coordination with ... setting, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice.… more
- Mount Sinai Health System (New York, NY)
- …Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or ... or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …cash controls. + Responsible for monitoring and reporting impact program has to hospital HEDIS measures + Report directly to KPH leadership on the progress of the ... **Education:** + Licensed Masters Social Work required or + Registered Professional Nurse required. + RN must be licensed in New York State required.… more
- Molina Healthcare (Albany, NY)
- …Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial ... policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice,… more