- Excellus BlueCross BlueShield (Buffalo, NY)
- …and data interpretation. + Develops and implements the BH sections of the Quality Management /Utilization Management (QM/UM) Plan, including having the BH ... in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers...claims and appeals and resolves grievances related to medical quality of care, as needed. + Ensures that the… more
- HCR Home Care (Rochester, NY)
- …. + Minimum of two years' experience in certified home health care . + Medicare home health experience and management experience . + Organized, detail-oriented , ... between departments to facilitate and assure the delivery of high- quality patient care. Essential Functions Supervises the day-to-day clinical operations… more
- Catholic Health Services (Roslyn, NY)
- …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details An ... Advanced Practice Provider (APP), also known as a Physician Assistant (PA) or Nurse Practitioner (NP) specializing in Internal Medicine, plays a crucial role in the… more
- Mount Sinai Health System (New York, NY)
- …Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees working together to provide ... billions of dollars in high- quality care each year for millions of patients. We...transition to a business model focused on population health management - our goal is to keep entire communities… more
- Catholic Health Services (Melville, NY)
- …knowledge of admission criteria for all levels of care). Experience with denials management . Knowledge of clinical, quality , and administrative facets of the ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices… more
- New York State Civil Service (Poughkeepsie, NY)
- …Director will be responsible for the day-to-day operation and continuous quality improvement of community-based state operated residential, day program, and ... of achieving and maintaining certification of all sites and providing high quality of care. Set direction and expectations for subordinates and evaluate performance/… more
- Mount Sinai Health System (New York, NY)
- …is one of the largest US health systems with a strong reputation for quality of care and research/education. We have ~40,000 employees working together to provide ... billions of dollars in high- quality care each year for millions of patients. We...transition to a business model focused on population health management - our goal is to keep entire communities… more
- Mount Sinai Health System (New York, NY)
- …Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees working together to provide ... billions of dollars in high- quality care each year for millions of patients. We...transition to a business model focused on population health management - our goal is to keep entire communities… more
- BAYADA Home Health Care (Oneonta, NY)
- **At Home Care, Inc. is a Medicare certified home health agency with a 4 STAR Rating for quality and patient satisfaction!** **At Home Care, Inc.** is looking ... of a multi-disciplinary health care team that provides rehabilitative care and skilled nursing to clients, affording them the opportunity to receive the medical care… more
- WMCHealth (Valhalla, NY)
- …sheets, labels and NY state and Federally mandated forms to patients or nursing unit as appropriate. + Responsible for obtaining and witnessing signatures for ... entry and changes to patient information when required. + Responsible for quality assurance - reviewing registration data for accuracy and satisfying delinquent… more