- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- New York State Civil Service (New York, NY)
- …Psychiatric Center is recruiting an Intensive Case Manager to provide case management and care coordination services to individuals with mental illness in the ... if they have:* Bachelor's degree in social work, psychology, nursing , rehabilitation, education, occupational therapy, physical therapy, recreation or recreation… more
- University of Rochester (Rochester, NY)
- …create barriers to access for patients. Remains knowledgeable of private payer, Medicare , and Medicaid structure systems and reimbursement processes. Respond to all ... patient, nursing , and provider account inquiries. **ESSENTIAL FUNCTIONS** + Determines...providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle. + Completes… more