- Elevance Health (Latham, NY)
- …-to- peer clinical reviews with attending physicians or other providers to discuss review determinations. + May conduct peer -to- peer clinical appeal case ... + Identifies and develops opportunities for innovation to increase effectiveness and quality . + Provides expertise, captures and shares best practices across regions… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …to improve overall quality through the use of evidence based medicine and peer review . Participates in clinical review process such as tort claims, ... establishment of the highest clinical care standards, operations, and quality ; as well as daily functioning of the OR...are determined by the VHA Education Loan Repayment Services program office after review of the EDRP… 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
- Bassett Healthcare (Cooperstown, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse I, Acute ... RN I's are expected to complete the requirements of the Nurse Residency program and complete the application and credentialing process for successful advancement to… more
- Molina Healthcare (Syracuse, 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 (Buffalo, 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
- Bassett Healthcare (Oneonta, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, Acute ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
- Bassett Healthcare (Delhi, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse IV, Acute ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …Line Manager, Lead Psychiatrist, or President of the Medical Staff. There may be non-committee peer review or quality assurance duties that are required on ... Center Bylaws. 10. Psychiatrists are expected to serve on peer review and other committees as requested...are determined by the VHA Education Loan Repayment Services program office after complete review of the… more
- City of New York (New York, NY)
- …accurate - Review of initial assessments and progress notes for quality improvement - Respond to field-based crisis and issues (which may involve in-person/field ... days per week, pursuant to the Remote Work Pilot Program agreed to between the City and DC37. Updated...Department of Mental Hygiene agencies. For additional information, please review 7704 Requirements for a license under NYS Social… more