- Northwell Health (Garden City, NY)
- …experience. 2 .Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Prior ... 1.Leverages clinical expertise to identify and validate DRG code assignment. 2 .Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of… more
- Molina Healthcare (NY)
- …* At least 3 years of managed care experience, including at least 2 years of delegation oversight auditing experience, or equivalent combination of relevant ... **Preferred Qualifications** * Certified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...addition to Level I Qualifications) + A minimum of 2 years in case management position. + Case Management… more