- The Institute for Family Health (Bronx, NY)
- …care reports generated by IFH stats & other available population management registries to review site quality metrics, track aggregate data and identify at risk ... the multidisciplinary team and in accordance with approved protocols, provides high quality patient care, Diabetes Self-Management Education and Support as well as… more
- EJ (Phoenix, NY)
- …communication with Sales and Fabrication. + Establishes and manages effective product quality inspection, audit and review processes from sales/quote entry ... and security, honesty and integrity, environmental responsibility, respect for others, quality and excellence, and social responsibility. Location: Phoenix , NY… more
- Mount Sinai Health System (Jamaica, NY)
- …Participates in special projects as assigned. Prepares quality assurance/continuous quality improvement data for review . **5.** Performs other duties ... or requiring obstetrical care. Teaches staff and students and performs quality assurance functions for the department. Performs supervisory functions including staff… more
- Centene Corporation (New York, NY)
- …for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. + Prepares case reviews for Medical Directors by ... applicable criteria, and analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with State, Federal and NCQA… more
- Molina Healthcare (Rochester, NY)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **Preferred… more
- Molina Healthcare (Buffalo, NY)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **Preferred… more
- Molina Healthcare (Syracuse, NY)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... + Provides telephone, clerical, and data entry support for the Care Review team. + Provides computer entries of authorization request/provider inquiries, such as… more
- Molina Healthcare (Yonkers, NY)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. To all… more
- Helio Health Inc. (Utica, NY)
- …of medical orders, and treatment of psychiatric conditions. + Serve on special review and quality assurance committees as assigned. + Provide and document ... and psychiatric consultation, assessment, examination, and treatment planning, referral and review consistent with agency policy and requirements. + Review … more
- Access: Supports For Living (Middletown, NY)
- …the operation of IDD residential services and training certifications. + Partners with Quality Assurance on utilization review and utilization management for IDD ... Leads the development of skill and attainment of knowledge to facilitate quality service delivery, developing a strong, dynamic customer satisfaction focused and… more