• Nurse Case Manager

    Brighton Health Plan Solutions, LLC (New York, NY)
    …Excel, and working in a database environment. * Familiarity with URAC/ NCQA standards, Milliman Care Guidelines (MCG) experience preferred. * Bonus: Additional ... certifications like Diabetes educator, Pediatric Nursing, Gerontological Nursing. * Current licensed Registered Nurse (RN) with state licensure; bachelor's degree preferred. About At Brighton Health Plan Solutions, LLC, our people are committed to the… more
    Brighton Health Plan Solutions, LLC (07/18/25)
    - Related Jobs

  • Abstractor, HEDIS /Quality Improvement (Remote)

    Molina Healthcare (NY)
    …+ 1 year managed care experience. + Advanced knowledge of HEDIS and NCQA **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active RN license for the State(s) of ... employment **STATE SPECIFIC REQUIREMENTS:** **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant… more
    Molina Healthcare (07/17/25)
    - Related Jobs

  • Remote Medical Staff Services Health Care…

    Mount Sinai Health System (New York, NY)
    …hospital?s Delegated Enrollment or Managed Care Enrollment Department + Knowledge of NCQA standards (Joint Commission standards a plus) + Experience utilizing a ... credentialing database, required (Verity CredentialStream preferred). + Advanced experience in MS Office Suite products, preferred. + Must have a home office set up conducive for remote work and preferably have experience working in a remote environment.… more
    Mount Sinai Health System (07/17/25)
    - Related Jobs

  • Licensed Practical Nurse (LPN)

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and Whitney M. Young Jr. Health Center. + Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: LPN candidate must be a graduate of a registered approved program for Licensed Practical Nurses with current NYS registration. Basic… more
    Whitney Young Health Center (07/17/25)
    - Related Jobs

  • Health Home Care Coordinator - Children

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). . Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and Whitney M. Young Jr. Health Center. . Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Associate's degree in human services or related field with a minimum of two (2) year's work experience in case management or case work… more
    Whitney Young Health Center (07/15/25)
    - Related Jobs

  • HR Generalist - Credentialing Specialist

    Planned Parenthood of Greater New York (Manhattan, NY)
    …field + Familiarity with healthcare regulations (eg, NY DOH, Joint Commission, NCQA ) + Experience working with or managing credentialing software systems (eg, ... Verity, Echo, Symplr, MedTrainer) + Knowledge of federal, state, and local employment laws and regulations + Strong relationship building and communication skills, including an ability to work and build trust across cultural differences related to race, class,… more
    Planned Parenthood of Greater New York (07/10/25)
    - Related Jobs

  • Application Administrator

    University of Rochester (Rochester, NY)
    …and accreditation processes with the National Committee for Quality Assurance ( NCQA ) and other regulatory bodies. + Ensure credentialing activities comply with ... regulatory and accreditation requirements. + Help prepare materials necessary for compliance with external audits. + Vendor Coordination: + Work with software vendors to resolve technical issues that cannot be resolved internally. + Assist in coordinating and… more
    University of Rochester (07/05/25)
    - Related Jobs

  • Senior Administrative Assistant

    Whitney Young Health Center (Albany, NY)
    …ie DHHSHRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adhere to the National Patient Safety Goals as defined by the ... Joint Commission and WYH. + Complete other duties as assigned. + Position may require occasional after-hours meetings. Requirements MINIMUM QUALIFICATIONS: High school graduate/GED plus 3 years of general office experience. With at least one year of proven… more
    Whitney Young Health Center (07/04/25)
    - Related Jobs

  • Director of Accounting

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and Whitney M. Young Jr. Health Center. + Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: + Master's degree in Accounting or a closely related business discipline. May substitute a Bachelor's degree in Accounting with… more
    Whitney Young Health Center (07/02/25)
    - Related Jobs

  • School Based Health Nurse Practitioner/Physician…

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and the Whitney M. Young Jr. Health Services. + Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: + Graduate of a registered approved Nurse Practitioner/Physician Assistant Program + Completion of required State/National… more
    Whitney Young Health Center (07/02/25)
    - Related Jobs