- Intermountain Health (Albany, NY)
- …To review medical records retrieved from provider offices and abstract medical information for HEDIS (Health Effectiveness Data Information Set) annual audits. ... Interprets relevant clinical criteria through review of medical records annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. **Job Essentials** + Work collaboratively with Select… more
- Northwell Health (Westbury, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... certifications as needed. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement… more
- Molina Healthcare (Bronx, NY)
- …and/or managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state ... of practice. * Strong attention to detail and organizational skills. * Strong analytical and problem-solving skills. * Ability to work in a cross-functional, professional environment. * Ability to work on a team and independently. * Excellent verbal and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist + Accepts responsibility for… more
- Molina Healthcare (Buffalo, NY)
- …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or ... OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational...be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) **PHY** **S** **I** **C** **AL DEM** **A**… more
- Catholic Health (Buffalo, NY)
- …finance, business management, operational analysis, information systems or related field + Registered Nurse with a four (4) year degree and Unrestricted ... Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or any other certification… more