- CVS Health (New York, NY)
- …responses to members and providers. Leads all aspects of utilization review/ quality assurance , directing case management Provides clinical expertise and ... and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care ... resources. **This is a remote based (work at home ) based anywhere in the US.** Aetna, a CVS… more
- University of Rochester (Rochester, NY)
- …department at direction of supervisor and teaches other staff. + Performs quality assurance monitoring for activities completed in Plastic/Burn Surgery ... with collaborating surgeons in various divisions. + Sets up Quality assurance procedures for to find improvement...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
- University of Rochester (Rochester, NY)
- …up of all cancer registry patients and resolves delinquent cases. - Ensures various quality assurance measures by maintaining follow up rates for all eligible ... patients. Selects random cases for quality assurance reviews. - Provides ad-hoc statistical...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- … improvement activities. Performs medical review activities pertaining to utilization review, quality assurance , and medical review of complex, controversial, or ... of recommendations to providers that would improve utilization and health care quality . Reviews claims involving complex, controversial, or unusual… more
- Mount Sinai Health System (New York, NY)
- …meet the specialized needs of specific patient populations. + Participates in quality assurance monitoring and reporting for departmental performance improvement ... specific patient populations + Assists with discharge planning and home care as needed. + Participates in...leaders and innovators; and supporting local communities by delivering high- quality care to all who need it.… more
- Anthony Jordan Health Corp (Rochester, NY)
- …Medical Home (PCMH) designation through the National Committee on Quality Assurance . Jordan Health receives funding from the Health Resources ... guidance of the RN Practice Manager, is primarily responsible for providing high quality , patient centered care to patients of all ages in the urgent care … more
- GMHC (New York, NY)
- …in client care , regulatory compliance, and effective communication. Compliance and Quality Assurance : + Works in close coordination with the housing director ... is pivotal in driving the department toward exceeding contractual standards and ensuring high- quality client care . This position requires a leader who is not… more
- Trinity Health (Albany, NY)
- …based on urgency. + Educates patients regarding medication, testing procedures and home care techniques. + Ensure proper labeling, handling and documentation ... the electronic medical record to communicate effectively. + Performs quality assurance duties as assigned. + Provides...appropriate. + Works cooperatively with all colleagues to ensure quality patient care at all times. +… more
- Evolent (Albany, NY)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... skills + Energetic and curious with a passion for quality and value in health care +...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Albany, NY)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... skills + Energetic and curious with a passion for quality and value in health care +...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more