- Northwell Health (Westbury, NY)
- …Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic ... to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare/non-Medicare charts to ensure… more
- Northwell Health (Garden City, NY)
- …leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more
- GE Aerospace (Schenectady, NY)
- …include medical , dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance ... a corporate holding of GE Aerospace, as a Reinsurance Auditor and lead audits that drive transparency, innovation, and...term care insurance claim experience + Working knowledge of medical terminology and medical impairments related to… more
- Molina Healthcare (Bronx, NY)
- …and process audits as needed. * Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met. * ... Performs audits in utilization management, care management, member assessment, behavioral health , and/or other clinical teams, and monitors clinical staff for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity ... activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS),...NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects… more
- GE Vernova (Schenectady, NY)
- …include medical , dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance ... such as from ASTM, ASME etc + ISO Lead auditor certified by 3rd party registrar or accepted internal..., dental, vision, and prescription drug coverage; access to Health Coach from GE Vernova, a 24/7 nurse… more
- CDPHP (Latham, NY)
- …Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity ... in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to… more
- GE Aerospace (Schenectady, NY)
- …include medical , dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance ... experience interacting with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Strong cost accounting background… more
- GE Aerospace (Schenectady, NY)
- …include medical , dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance ... experience interacting with senior DCMA (ACO, DACO, CACO) and DCMA (supervisory auditor , Branch Manager, Regional Audit Manager) leaders. + Strong cost accounting… more
- GE Vernova (Albany, NY)
- …benefits include medical , dental, vision, and prescription drug coverage; access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to ... root cause analysis) and quality management systems such as ISO 9001:2015) lead auditor training. + You are someone who is proactive, not easily discouraged, humble,… more