- WellLife Network (Manorville, NY)
- …Director is responsible for program development, staff supervision, fiscal management , quality assurance, and maintaining a therapeutic, structured environment that ... Coordinates and provides new staff orientation and ongoing training to ensure compliance with agency and OMH requirements.3. Oversee all quality assurance and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …attendance is expected and required. + Performs other functions as assigned by management . Minimum Qualifications: + RN with current New York State license ... requirements of assigned policies ensuring all annual reviews are completed in compliance with National Committee on Quality Assurance (NCQA) timeframes and in… more
- University of Rochester (Rochester, NY)
- …medications, infection management ) to maximize patient care and ensure full compliance with regulatory agencies. + Correspondence: Act as liaison for contacts to ... onsite and regional activities of a team of physicians, APP's and RN 's. Performs functions associated with patient information processing for ambulatory care visits.… more
- Trinity Health (Albany, NY)
- …they remain current with advancements in Oncology care and clinical best practices. ** Compliance & Risk Management :** + Support operational leaders in ensuring ... to strengthen patient and provider access across THNY oncology services. **Financial Management :** + Manage a regional service line dashboard, including oversight of… more
- Evergreen Health (Buffalo, NY)
- …implementing best practice initiatives, value-based payment readiness, incident report management , and ensuring regulatory compliance . This position assists ... Behavioral Health Planning Analyst- Intake Specialist: + Conducts clinical audits and utilization reviews, as required by operating regulations, and as assigned, in… more
- Mercy Haven Inc. (Bayport, NY)
- …in our employees' success. The Program Coordinator serves as the primary case management and program operations lead for the Medical Respite program. This role is ... medical, behavioral health, and social service providers. + Provide ongoing case management to address medical, behavioral health, social, and housing needs. +… more
- J&J Family of Companies (New York, NY)
- …relationships with identified OLs and health care providers (MD, PA, NP, RN , Pharm.D., biocoordinators) and developing and managing a geographical territory. These ... their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr....activities in accordance with current regulatory and health care compliance guidelines. This is a field based clinical position… more
- Catholic Health Services (Melville, NY)
- …clinical documentation to support diagnoses These reviews are in contrast to coding/ compliance reviews, which evaluates what is written in the encounter note ... degree + Licensure / Certification: CCS-P, CPC, CRC, or other coding credential + RN or LPN helpful but optional + Extensive clinical knowledge and understanding of… more
- Highmark Health (Albany, NY)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year of ... + In-depth knowledge of the pharmacy industry, including benefit design, formulary management , and pharmacy best practices. + Proven ability to interpret and analyze… more
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