- Yale New Haven Health (Yonkers, NY)
- …nursing assistants, residents, families and physicians. c. assumes responsibility for compliance with Federal, State and local regulations within the assigned unit. ... in status, unusual events and as required by regulatory agencies ie Medicare . Completes documentation related to the resident's admission, transfer or discharge. ie… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
- Ellis Medicine (Schenectady, NY)
- …as well as, the high risk population, chronic medical problems, non- compliance issues, interdisciplinary and/or patient, family, requests + Participates in ... of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge...+ Coordinates acute hospital to hospital transfers to ensure compliance with all the discharge planning regulations and transfer… more
- Humana (Albany, NY)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- Arnot Health (Elmira, NY)
- …Description MAIN FUNCTION: The Clinical Accreditation Specialist acts as a consultant on interpretation of regulatory standards, including The Joint Commission and ... Centers for Medicare and Medicaid Services (CMS); ensures a constant state...leadership and assistance to enterprise-wide initiatives. Performance Improvement and Compliance : Duties and Responsibilities: ** 1. Assumes the daily… more
- CVS Health (Albany, NY)
- …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates… more
- Catholic Health Services (Roslyn, NY)
- …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores Job Details Critical ... measures. + Serve as a clinical expert and leadership consultant to members of the healthcare team and to...the larger community. + Participate in and support accreditation, compliance , and regulatory activities of the organization. + Identify… more
- Catholic Health Services (West Islip, NY)
- …most advantageous clinical and financial outcomes. + Supports all CH and consultant initiatives addressing activities relative to Care Management and Denials. + ... Coordination department, Medical Staff, and SCSH Administrative Staff. + Ensures compliance with Hospital Conditions of Participation. + Implements care management… more
