- Nuvance Health (Poughkeepsie, NY)
- …Team Leaders via program dashboard on quality and process measures.Participates in quarterly Utilization Review . 7.Prepares reports to DQS and Clinical Team as ... degree in nursing or equivalent experience. * Minimum of three (3) years Home Care experience. * QAPI experience 1-3 years *Minimum Knowledge, Skills and Abilities… more
- City of New York (New York, NY)
- …and provides foster care services for children not able to safely remain at home . Each year, the agency's Division of Child Protection responds to more than 50,000 ... care and/or residential services contracts which include invoicing, budget review and approval, billing/payments, troubleshooting, communication, and contract evaluation.… more
- BAE Systems (Greenlawn, NY)
- …proposal generation and customer negotiation support and development of budgets. + Review of project performance against established metrics and development of "get ... accomplishment of programs goals through the efficient and effective utilization of operations resources + Provide a single point...to Operations in compliance with service level agreements + Review , approve and process all change orders to the… more
- Amgen (New York, NY)
- …through payer prior authorization to appeals/denials requirements and forms + Review patient-specific information in cases where the site has specifically requested ... Offer office education during the access process, including formulary coverage/ utilization management criteria, insurance forms & procedures, benefits investigation,… more
- FlexStaff (White Plains, NY)
- …Manager RN for our client, a non-profit healthcare organization providing home and community-based healthcare and services for the elderly. JOB RESPONSIBILITIES: ... + Communicate with IDT to coordinate care based on participant needs. + Review UAS assessments for accuracy. + Investigate and address incidents, ensuring timely… more
- FlexStaff (Bronx, NY)
- …(MLTC, LTHHCP, MAP, PACE, etc.). + 5+ years in case management, disease management, utilization review , or quality assurance. + Experience working with frail or ... Clinical Assessment Manager for our client, a non-profit healthcare organization providing home and community-based healthcare and services for the elderly. This a… more
- Lincoln Financial (Albany, NY)
- …Coronary Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like to work here?** At ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at ...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Fresenius Medical Center (Rochester, NY)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic… more
- Mohawk Valley Health System (Utica, NY)
- …+ Participates in appropriate agency meetings and the quality improvement and utilization review activities of the organization. + Supports the Agency's ... + Assists in provision of nursing care to the home health patient. Collaborates with the patient's primary case...members of the health care team. Makes and documents home care nursing visits. + Gathers data and reports… more
- Warner Music Group (New York, NY)
- …keeping the faith, acting with integrity, and delivering on our promises.** **WMG is home to a wide range of artists, musicians, and songwriters that fuel our ... the Workplace Experience teams. + Support analysis of service utilization and costs of operations for programs across sites....standards + Experience with Tableau **About us:** As the home to 10K Projects, Asylum, Atlantic Music Group, East… more