- Mount Sinai Health System (New York, NY)
- …or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics ... related to revenue modeling, managed care contracting, population management , case management , clinical or financial decision report + PhD, MD or DO program may… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …party payers + Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems that ... appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in...Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis… more
- Mount Sinai Health System (New York, NY)
- …or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics ... related to revenue modeling, managed care contracting, population management , case management , clinical or financial decision report + PhD, MD or DO program may… more
- Highmark Health (Buffalo, NY)
- …result in the greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with the other members of ... and interpretation of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk… more
- HCR Home Care (Rochester, NY)
- …using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home ... - and short-term plans, when appropriate , including the utilization of community supports with the goal of reducing...and accurately use multiple software systems to capture care management notes and related activities, and to provide correction… more
- HCR Home Care (Canton, NY)
- …using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home ... Manager, capable of exceeding the basic tenants of care management . Essential Functions + Actively and progressively care manage...and short - term plans, when appropriate, including the utilization of community support with the goal of reducing… more
- Fallon Health (Buffalo, NY)
- …the elderly for more than 100 years, through both community-based programs and nursing facility care. It is a renowned geriatric education and training institution ... team members, as appropriate, to accomplish these tasks at the day center, nursing home, or participants' homes.* + Ensures communication of participant changes to… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE: With general direction of the Ambassador Management Team and with latitude for independent initiative and judgment: ... other duties as assigned. SCHEDULE: M-F 4pm-8pm **ESSENTIAL FUNCTIONS** **Problem Solving/ Utilization of Critical thinking skills** + Serves as the front line… more
- Nuvance Health (Poughkeepsie, NY)
- …assists in the implementation of the Agencyi? 1/2s Performance Improvement, Risk Management , Infection Control, and OASIS programs to ensure compliance with JCAHO, ... via program dashboard on quality and process measures.Participates in quarterly Utilization Review. 7.Prepares reports to DQS and Clinical Team as appropriate.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …(3) years acute care RN or acute care, transitional care, or chronic care RN/case management experience OR Associates degree in Nursing and five (5) years acute ... care RN or acute care, transitional care, or chronic care RN/case management experience required. *If Associate in Nursing , must be enrolled in an accredited BSN… more
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