- 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 ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
- Oak Orchard Health (Brockport, NY)
- …trainings, ongoing staff development and performance of the Oak Orchard Health Medical Department. The Clinical Performance and Quality Manager will directly ... report to the Director of Nursing and oversee the Nurse Supervisors. This position will ensure the standardization of...staff. . Complete quarterly performance audits with reporting on quality measures and partner with DON to review… more
- Mount Sinai Health System (New York, NY)
- …** For Future and Current Opportunities** Mount Sinai Hospital RN Float Pool (ICU and Medical Surgical Step Down) The Clinical Nurse for the Mount Sinai nursing ... float pool is a Registered Professional Nurse who provides safe, competent quality care...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2.… 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 ... medical record required - Statistical knowledge preferred - Clinical chart review and abstraction experience preferred - Quality Assurance and Process… more
- WMCHealth (Poughkeepsie, NY)
- …related to medical staff PI + Screens cases to identify issues for physician review , using criteria established by the medical staff and the NYS DOH. + ... Quality Improvement Specialist- RN Company: MidHudson Regional Hospital...leadership, direction and assistance to the hospital and the medical staff to achieve the goals of the Performance… more
- Fresenius Medical Center (Troy, NY)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance ... a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient… more
- Fresenius Medical Center (New Rochelle, NY)
- …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient… more
- GE Vernova (Albany, NY)
- …order award meetings, contributing to supplier performance ratings, leading quarterly supplier quality review meetings, and initiating supplier quality ... program including lessons learned dissemination. + Relentlessly monitor and manage all supplier quality key process indicators (KPI) by dedicated review of the… more
- Rochester Regional Health (Rochester, NY)
- …+ Demonstrate proven leadership and management skills to promote effective and efficient review of physician documentation and the medical record. + Demonstrate ... system targets for performance metrics related to improved case-mix and quality measures. The Director provides daily oversight of Clinical Documentation Improvement… more