- Bassett Healthcare (Oneonta, NY)
- …to identify correct patient level of care 90 - 95% of the time as indicated by Peer Review + Will maintain necessary skills to maneuver through the EHR and all ... our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do Working under...and colleagues as measured by staff feedback and supervisory review + Supports staff within the department, establishes timely… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including but not limited to: ... * Prospective medical record review of health plan providers.../ adjustment area (Risk Adjustment/Actuarial Services). * Performs vendor Quality Assurance (QA) and sole source PUD coding projects,… more
- Trinity Health (Troy, NY)
- …of the employee performance review process and supports the process of peer review . Ensures competency of staff and addresses defined learning needs by ... Effectively assesses outcomes from care teams. Collaborates with physicians and quality coordinators to review outcomes and establish targets. **Performance… more
- New York State Civil Service (Albany, NY)
- …the full lifecycle of clinical quality assurance activities, including the review of assessments, peer reviews, clinical evaluations, and the development of ... and change, and will serve as OPWDD's first utilization review team. The BSARR Licensed Psychologist (Clinical Quality...the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may… more
- Molina Healthcare (Rochester, NY)
- …to learn new programs. Preferred Qualifications * Experience with utilization/ quality program management. * Managed care experience. * Peer review ... programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides… more
- Molina Healthcare (Yonkers, NY)
- …as a Medical Director in clinical practice * 3 years' experience in Utilization/ Quality Program Management * 2+ years HMO/Managed Care experience * Experience ... free of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review , medical policy/procedure development, provider contracting experience. *… more
- Saratoga Hospital (Saratoga Springs, NY)
- …when needed. The Clinical Regulatory Readiness Manager will support the medical staff peer review process, OPPE, review onboarding health immunization for ... Hospital At Saratoga Hospital, we've built a reputation for high- quality , compassionate care and a commitment to the health...with medical staff affairs team to support OPPE clinical review process and peer review … more
- Corning Incorporated (Fairport, NY)
- …project results through internal and external reporting means (design reviews, peer reviews, customer presentations, manager review , technical reports, ... for those contributions motivates us much more. That's why Corning offers a peer -to- peer recognition program to celebrate success by recognizing colleagues… more
- Bassett Healthcare (Cooperstown, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. About the department Bassett Medical Center's Operating Room / ... cases. Our OR nurses are critical in delivering safe, efficient, and quality care to patients throughout surgical procedures while collaborating closely with… more
- Bassett Healthcare (Cobleskill, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. About the department "Why Cobleskill Regional Hospital? Part of ... the National Rural Health Association (NRHA)-a recognition of our commitment to high- quality , rural healthcare. Founded in 1956, Cobleskill Regional Hospital is a… more