- Molina Healthcare (Albany, NY)
- …within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied cases ... License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ** Preferred Education** Bachelor's Degree… more
- National Health Care Associates (Saratoga Springs, NY)
- …quality standards + Providing mentorship, training, and support to nursing staff + Ensuring compliance with all regulatory standards and protocols If you are an ... **-** **A Great Place to Work** : Preferred Professional Services (PPS) is a proud affiliate...Care and Rehab Facilities! **-** **What You'll Do:** **Agency RN Supervisor for 3-11 Shift needed ASAP!** As an… more
- Highmark Health (Albany, NY)
- …are achieved. + Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and ... Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for ... metrics and meeting requirements established for audits to ensure adherence to regulatory and departmental policy/procedures. + Maintains compliance with all … more
- Saratoga Hospital (Saratoga Springs, NY)
- …quality improvement plans and customer satisfaction programs. Additional Responsibilities: Regulatory Compliance : Maintains current knowledge in all aspects ... of regulatory compliance . Minimum Qualifications: Education, Training & Experience + BS...Training & Experience + BS Degree required; MS Degree preferred . NYS RN license required. + Minimum… more
- National Health Care Associates (Glens Falls, NY)
- …quality standards + Providing mentorship, training, and support to nursing staff + Ensuring compliance with all regulatory standards and protocols If you are an ... **What You'll Do:** The Pines at Glens Falls is searching for Nursing Supervisors ( RN ) to work **Weekend / Baylor** shifts. Baylor shift 7PM to 7AM and additional… more
- Loretto Management Corporation (Syracuse, NY)
- … or recent graduate we want to talk with you about joining our team! TheCharge Nurse , RN , is responsible for performing a variety of duties to provide quality ... health data and communicates updates to the care team in accordance with regulatory standards. Compliance + Follows all nursing policies, procedures, and… more
- Chautauqua Opportunities (Dunkirk, NY)
- …skills and demonstration of skills. * Maintains current knowledge of and assures regulatory and procedural compliance . * Assists with recruitment and hiring of ... Required: * Bachelor's degree in nursing required. * Current NYS license for Registered Professional Nurse - DOH fingerprinting already completed for licensure.… more
- WMCHealth (Valhalla, NY)
- Performance Improvement Trauma Coordinator- RN Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... outcomes. The Performance Improvement Coordinator is accountable for meeting regulatory and accrediting standards for performance improvement and patient safety… more
- Molina Healthcare (Albany, NY)
- …non-clinical team activities to facilitate integrated, proactive utilization management, ensuring compliance with regulatory and accrediting standards. + Manages ... leadership skills. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) in good standing. + Must have… more