- Humana (Albany, NY)
- …on Medicare Advantage strategy development and large-scale strategy program management . In this role, you will partner cross-functionally to help develop ... reinvention. It has transformed itself from the largest US nursing home company in the '60s, to the largest...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Trinity Health (Schenectady, NY)
- …affiliate of St. Peter's Health Partners. **Prospective Payment System (PPS) and Quality Reporting Program (QRP) Coordinator for Sunnyview Rehab Hospital** If you ... possess a professional license in nursing (RN), Physical Therapy (PT), Occupational Therapy (OT), Speech...activities that support the Prospective Payment System (PPS) and Quality Reporting Program (QRP) processes for the inpatient rehabilitation… more
- Mohawk Valley Health System (Utica, NY)
- …+ Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management experience Licensure/Certification Requirements ... Transitional Care RN - Case Management - Full Time - Days Department: CASE...+ Coordinate processes designed to reduce readmissions with physicians, nursing staff, the patient and care givers. + Implement… more
- Humana (Albany, NY)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...Our nurses are titled Care Managers, because our case management services are centered on the person rather than… more
- Elevance Health (East Syracuse, NY)
- …workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...perform all duties of lower-level positions as directed by management . + Participate in development and maintenance of Audit… more
- Molina Healthcare (Rochester, NY)
- … Improvement (QI) leader within the organization, empowered to advise senior management and other departments on Quality strategies and initiatives. This ... programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience...**Preferred License, Certification, Association** + Certified Professional in Health Quality (CPHQ) + Nursing License (RN may… more
- Centene Corporation (Latham, NY)
- …, Business Administration, or Health Care Administration. 8+ years of quality improvement experience. Healthcare operations management experience (medical ... perspective on workplace flexibility. **This role will be responsibel for all non- Medicare Strategy. The ideal candidate will have a strong Medicaid background.**… more
- SUNY Upstate Medical University (Syracuse, NY)
- …coordination of care via a full range of services that will improve quality of patient care, assessing & evaluating patients, ordering appropriate laboratory testing ... the performance of circumcisions, ED OB evaluations, admissions, discharges, and management for all the above. The gynecological services will include pre-operative… more
- Molina Healthcare (Albany, NY)
- …(QIA) in collaboration with the clinical lead, the medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA ... + Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality , cost-efficiency, and… more
- Arnot Health (Bath, NY)
- …the Long Term Care department. b. Collaborates with the DON with maintaining the nursing quality improvement process to improve resident care to the greatest ... Term Care Department. + Ensures the utilization of the nursing process in maintaining quality of standards...may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing … more