- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for verifying ... across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. We are seeking a...Candidates with MCO experience are highly preferred. The Care Review Clinician must be able to work independently in… more
- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. The candidate must have Medicare Appeals and/or… more
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for… 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 ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- Oak Orchard Health (Brockport, NY)
- …content for nursing staff. . Complete quarterly performance audits with reporting on quality measures and partner with DON to review and troubleshoot areas ... Clinical Performance & Quality Manager Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) Description Position Summary: The… more
- University of Rochester (Rochester, NY)
- …the application of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to ... electronic medical record required - Statistical knowledge preferred - Clinical chart review and abstraction experience preferred - Quality Assurance and Process… more
- DePaul (Rochester, NY)
- Overview The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the ... individuals we serve. The Quality Management Department defines best practices, identifies strengths in service delivery and provides structure through which problem… more
- GE Vernova (Albany, NY)
- …order award meetings, contributing to supplier performance ratings, leading quarterly supplier quality review meetings, and initiating supplier quality ... learned dissemination. + Relentlessly monitor and manage all supplier quality key process indicators (KPI) by dedicated review...access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
- WMCHealth (Poughkeepsie, NY)
- Quality Improvement Specialist- RN Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY Category: Clerical/Administrative Support Department: Quality ... PI + Screens cases to identify issues for physician review , using criteria established by the medical staff and...+ Ensures all physician-related OFI's are in the respective quality profiles. + Verifies the integrity of the data… more