- Deloitte (New York, NY)
- …interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management , Finance, Revenue Cycle, and Coders + ... severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities...Nursing and related health fields preferred + Case Management or Medical coding certification a plus (CRC, CCA,… more
- Calvary Hospital (Bronx, NY)
- …(ELOS). The RNCM participates in the Utilization Review, Discharge Planning, Risk Management , and Quality Assessment and Performance Improvement activities of ... nurse , currently unencumbered NYS licensure. + Bachelors in nursing or health care related field preferred. + Qualified...Five (5) or more years experience in either Utilization Management , Quality Assessment and Improvement, Risk … more
- WMCHealth (Suffern, NY)
- Case Manager (RN) Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing / Nursing Management Department: Care Management Union: YES ... implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health System. This...in the State of New York as a Registered Nurse . Understanding of Medicare /Medicaid criteria and insurance… more
- Bassett Healthcare (Hamilton, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Ambulatory Office Assistant III serves ... encounters including face-to-face and telephone interactions. Assures that a high- quality patient experience takes place by providing administrative and/or clinical… more
- New York State Civil Service (Buffalo, NY)
- …oversight to medical staff, including psychiatrists, physicians, pediatricians, psychiatric nurse practitioners, and pharmacists; oversee the quality of ... Buffalo Psychiatric Center, P26370 Occupational Category Administrative or General Management Salary Grade 668 Bargaining Unit M/C - Managerial/Confidential… more
- Molina Healthcare (Yonkers, NY)
- …quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams. * Facilitates conformance to Medicare , Medicaid, ... * Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality , cost-efficiency, and… more
- New York State Civil Service (Brooklyn, NY)
- …Code 11233 Duties Description NYCCC is recruiting a Director of Clinical Risk Management Department to oversee their Risk Management Department and will ... database.* Attending facility-wide committee meetings as a representative of the Risk Management Department* Serving as the Co-Chairperson of Risk Management … more
- Catholic Health Services (West Islip, NY)
- …Management : + Works collaboratively with, but not limited to, Medical Staff, Quality /Risk Management , CH Utilization and Central Appeals, Managed Care and ... Overview The Director of Care Management is responsible for providing overall management...knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. + Knowledge of… more
- Mount Sinai Health System (New York, NY)
- …Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and ... or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics… more
- New York State Civil Service (Queens Village, NY)
- …emergencies, carry out discharge planning and post discharge referral, carry out quality improvement activities, may supervise a Nurse Practitioner Psychiatry, ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare … more