- Global Foundries (New York, NY)
- …focus on three key areas: (1) refining performance infrastructure, including monthly review processes, (2) leading strategic projects with an emphasis on organic ... processes which pertain to employees including recruitment, selection, training, utilization , promotion, compensation, benefits, extracurricular programs, and termination are… more
- Villa of Hope (Rochester, NY)
- …coordinator, providers, director of LHTC and administrative team, including billing and utilization review . + Triages potential admissions and when needed ... assists in providing alternative appropriate referrals. + Conducts client admissions meeting regulatory requirements. + Trains and guides other nurses in the admission process. + Participates in the on-call rotation to cover nursing needs. + The Intake… more
- Whitney Young Health Center (Albany, NY)
- …to continually assess and improve the quality of patient services-conducts monthly utilization review . + Participates in the recruitment of clinical staff. ... + Facilitates a multidisciplinary integrated team approach to the provision of clinical treatment services. + Demonstrates excellence in both internal and external customer service. + Understands and is able to effectively communicate HIPAA compliance,… more
- Citigroup (New York, NY)
- …Previous experience in consultancy practice or software provider in deployment and utilization of Business Process mapping within a global, complex and regulated ... our search tools and/or apply for a career opportunity review Accessibility at Citi (https://www.citigroup.com/citi/accessibility/application-accessibility.htm) ._ _View Citi's EEO… more
- BriteLife Recovery (West Kill, NY)
- …Maintain compliance with regulatory, licensing, and accreditation standards (eg, audits, utilization review , quality assurance). + Participate in performance ... improvement, quality assurance, and compliance activities. + Special Projects, on call and other duties as assigned. What we need from you? + Complete all annual education requirements. + Maintain active state Physician Assistant license and DEA registration… more
- IAHD-Institute for Applied Human Dynamics (Bronx, NY)
- …Day Habilitation program * Oversee program operations, census monitoring, units utilization , and quality control * Manage petty cash distribution and reconciliation ... the Adult Day Services committee * Lead staff meetings, resolve conflicts, and review habilitation plans for effectiveness * Serve as primary liaison to internal and… more
- UHS (Johnson City, NY)
- …work schedule. + Shares in the responsibility for effective resource utilization including staffing, time management, supplies and services. + Coordinates consult ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- Rochester Regional Health (Rochester, NY)
- …for quality initiatives, collaborates with CNO/Director of Quality to provide quality review activities. Guides assigned areas in utilization of recognized ... improvement tools, data analysis, and outcome measures. ATTRIBUTES + NYS OMH Qualified Health Professional or OASAS Qualified Health Professional who hold Master's degree; or RN BSN with minimal 3 years clinical experience; or Similar combination of… more
- Deloitte (New York, NY)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and ... health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience in medical terminology, medical coding, and ICD-10-CM/PCS, IPPS payment system is a plus' + Experience in quality measurement,… more
- CDPHP (Latham, NY)
- …Medicaid Long Term Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience with the New York State Universal ... assistance and education regarding plan requirements. + Demonstrated ability to review health care delivery against established criteria required. + Understanding of… more