- Evolent (Albany, NY)
- …care in value-based care frameworks, and thrives at the intersection of clinical quality, operations, and strategic provider collaboration. This leadership role is ... + Cultivate productive, trusted relationships with key executives-including C-level clinical and administrative leadership + Lead practice transformation initiatives… more
- Humana (Albany, NY)
- …your best at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best and most appropriate ... treatment, care or services for members. The Home Solutions UM Team is hiring for a UM...hiring for a UM Administration Coordinator that will provide non- clinical support for the policies and procedures ensuring best… more
- Evolent (Albany, NY)
- …partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial, EDWBI, Clinical , Performance Solutions and Partner Delivery. **What You'll Be ... Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain potential upside/downside risks of a given… more
- WMCHealth (Poughkeepsie, NY)
- …of results and findings are clearly supported by presenting concerns and test data + Makes appropriate clinical recommendations and referrals, and consistently ... and therapeutic services to clients in a variety of clinical settings. RESPONSIBILITIES Provides Diagnostic Services- requiring 5% or...own transportation to move from site to site and/or home to home to provide patient care.… more
- WMCHealth (Poughkeepsie, NY)
- …of results and findings are clearly supported by presenting concerns and test data + Makes appropriate clinical recommendations and referrals, and consistently ... and therapeutic services to clients in a variety of clinical settings. Responsibilities + Provides Diagnostic Services- requiring 5%...own transportation to move from site to site and/or home to home to provide patient care.… more
- Guthrie (Binghamton, NY)
- …the integration of both clinical and operational outcomes through analysis of clinical and financial data , including length of stay and DRG profiling. ... institutional, community, or specialized resources. 4) Integrates patient information, clinical /financial/operational data and evaluates the impact upon patient,… more
- Centene Corporation (Queens, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Clinical Quality Assurance RN will work in various capacities to review, ... activities / records of the Care Management Teams and / or activities / clinical documentation submitted by the Intake Specialist. The Clinical Quality Assurance… more
- Evolent (Albany, NY)
- …and expansion of OKRs for the Risk Adjustment coding support team. + Use data to identify areas of improvement for individual employees and that impact the team. ... Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and manage day-to-day risk… more
- Evolent (Albany, NY)
- …management and care coordination across multiple specialties + Implement real-time data synchronization that enables timely clinical decision-making **Lead ... platforms + Create technical specifications and system architecture that support clinical evidence alignment and quality improvement initiatives + Lead API design… more
- YAI (Brooklyn, NY)
- …educating team members on habilitation and Behavior Support Plans, assisting with clinical assessments, ensuring data collection, and providing direct feedback ... Description The ABIS works directly with people in their home , work, and daily lives in varying capacities. An...Level three. The ABIS position blends the DSP and clinical leadership roles. Clinical leadership under the… more
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