- Sedgwick (Albany, NY)
- …Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to ... for evaluating the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or… more
- Centene Corporation (New York, NY)
- …flexibility. **Must have an active New York State RN License.** ** Hours : 8:30am-5pm EST; Monday-Friday.** **Position Purpose:** Assesses, plans, and implements ... complex care management activities based on member activities to enable quality , cost-effective healthcare outcomes. Develops a personalized care plan / service plan… more
- Weill Cornell Medical College (New York, NY)
- …Org Unit: Clinical Operation Starr and Lefrak Work Days: Monday-Friday Weekly Hours : 35.00 Exemption Status: Exempt Salary Range: $158,000.00 - $168,600.00 *As ... lead the clinical APP and nursing team. Candidates with Nurse Practitioner experience will also be considered for a...the top of their licensures. + Monitors levels of quality of service as measured by satisfaction surveys, customer… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages the denial process. + Leads interdisciplinary complex ... network via required provider credentialing guidelines. + Participates in BH provider quality profile design and data interpretation. + Develops and implements the… more
- YAI (Milford, NY)
- …individualized, person-centered plans for the people we support. Ensures program quality and compliance with Federal, State, local and other regulatory requirements, ... + Provides effective leadership and develops a treatment team that provides quality care and positive outcomes. + Coordinates all members of the interdisciplinary… more
- WMCHealth (Valhalla, NY)
- …Department: Clinical Care Management Union: Yes Union Name: NYSNA Position: Part Time Hours : Saturday & Sunday 8-4:30p Shift: Day, Weekend Req #: 42988 Posted Date: ... the implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical… more
- Trinity Health (Clifton Park, NY)
- …nurses, nurse practitioners, and physicians to ensure deliverance of quality patient care. + Establish and maintain collaborative working relationships with ... will travel to offices in Warrensburg and West Mountain. **Position Highlights:** + ** Quality of Life:** Where career opportunities and quality of life converge… more
- New York State Civil Service (Binghamton, NY)
- …Appointment Type Permanent Jurisdictional Class Non-competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 6 AM To 6 PM Flextime ... and direct care staff* Monitoring staffing, assignments, and scheduling to ensure quality care* Ensuring nursing operations are in compliance with laws, regulations,… more
- Mount Sinai Health System (New York, NY)
- …supports the Health Systems objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the assets of the facility. ... + Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign healthcare… more
- Graham Windham (Brooklyn, NY)
- …Position Type: On-Call/Per Diem, Hourly, Non-Exempt Schedule: 5 hours /week Format: Fully Remote Department/Program: Care Coordination, Behavioral Health ... and lack of access to educational opportunities, living wage employment, quality healthcare, and affordable housing. We collaborate with communities and strong… more