- Mount Sinai Health System (Brooklyn, NY)
- …professional practice environment through facilitation of collegial interdisciplinary relationships, peer review , nursing research, innovation and joint practice ... **Job Description** The Advanced Practitioner /Clinical Program Director for Wound and Ostomy care is...for the budget planning and resources to enhance the quality of patient care, personnel and resource management, and… more
- Molina Healthcare (NY)
- …systems/programmer analysts on software applications, business domain and design standards. *Conducts peer review of other analysts (internal and contract staff) ... software engineers on multiple projects for project deliverables, assess deliverables' quality , plan and implement corrective and preventive actions to improve… more
- Molina Healthcare (Albany, NY)
- …Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PREFERRED… more
- Mount Sinai Health System (Long Island City, NY)
- …a resource person to nurses and other health team members. + Participates in peer review . + Incorporates research findings in clinical practice. + Participates ... a graduate of New York State registered Nurse Practitioner Program or equivalent OR is certified as a Nurse...the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion… more
- Evolent (Albany, NY)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Evolent (Albany, NY)
- … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
- Evolent (Albany, NY)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Mount Sinai Health System (New York, NY)
- …evidence-based ensure and procedures. + Engages in formal and informal peer and institutional review processes. + Collaborates with interdisciplinary ... The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …diagnostic radiology. Participate in the quality assurance programs such as peer review and performance improvement. Participate in all teaching programs and ... radiology requests for appropriateness, respond to consults timely, prescribe exam protocols, review image quality and provide feedback to the technical staff,… more
- Fresenius Medical Center (Staten Island, NY)
- …range within the department. * Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of ... Quality Assessment and Improvement (QAI), including use of FMS...events and action thresholds. * Oversees facility's Home Therapies Program if applicable. * Accountable for compliance with all… more