- CenterWell (Hauppauge, NY)
- …personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. + Develops, plans, implements, ... clinicians to promote more effective performance and delivery of quality home care services, and is available at all...+ Assesses staff education needs based on own the review of clinical documentation in addition to feedback and… more
- Ellis Medicine (Schenectady, NY)
- …physicians and interdisciplinary team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The Case ... Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
- Guthrie (Binghamton, NY)
- …Hospital in Binghamton, NY is seeking a dedicated and experienced Registered Nurse to join our Employee Health department! This full-time, weekday role offers ... Occasional travel is required. The Employee Health Office (EHO) nurse utilizes a holistic systems approach to protect and...on time, every time with regards to organization's Total Quality Management process; Must possess an abiding commitment to… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data collection & data entry, and...data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regard to… more
- Mount Sinai Health System (New York, NY)
- …Insurance reviews + Implements first step of appeals process to assist Appeals Nurse and Enter Denial information in Allscripts + Meets time frame for reviews ... Insurance / State & Federal regulation. + Enters concurrent review information for Review Nurses in Allscripts...location and distribute to appropriate departments + Monitors Concurrent Nurse denial phone calls for UM Nurse … more
- New York State Civil Service (Albany, NY)
- …Duties of this position include, but are not limited to the following:* Review and approve applications for NYSED program approval in the health sciences areas;* ... of Health regarding curriculum and policy for state operational approvals to operate Nurse Aide Training Programs and Home Health Aide Training Programs;* Serve as… more
- WMCHealth (Valhalla, NY)
- …Job Summary: The Vice President, Nursing Excellence, reporting to the Chief Nurse Executive, is responsible for coordinating and leading activities to attain and ... + Works with external consultants as applicable in the Magnet journey for guidance/ review of development of Magnet documents. + Ensures the on-time completion and… more
- Catholic Health Services (Melville, NY)
- Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides clinical ... leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment to providing the...must show an uncompromising commitment to providing the highest quality of patient care by being an integral part… more
- Mohawk Valley Health System (Utica, NY)
- …outstanding corrective actions and reporting on the audit outcomes through the quality management system. This position requires a deep understanding of process ... risk, and high volume healthcare processes. In collaboration with the Quality Management Department leadership team, supports the organizational priority of high… more
- Northwell Health (Forest Hills, NY)
- …Masters Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification ... assess, plan, implement, coordinate and monitor services required to achieve quality patient care and resource management.Serves as liaison between patients,… more