- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review / Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures all compliance ... paperwork is completed in a timely manor for the Upstate/Syracuse City School District school-based mental health care program. This position helps ensure successful visits by DNV and OMH when they occur. Monitors and maintains performance improvement… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review / Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... regulatory agencies, and other health care related entities. Preferred Qualifications: Utilization Review /Managed Care/ Quality Assurance experience.… more
- WMCHealth (Valhalla, NY)
- …a hospital or healthcare agency, one of which must have been in the area of utilization review , quality assurance , risk management or discharge planning. ... the implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester… more
- WMCHealth (Valhalla, NY)
- …hospital or health care agency, one of which must have been in the area of utilization review , quality assurance , risk management or discharge planning. ... the implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester… more
- CenterLight Health System (NY)
- …(5+) years of experience in care/case management, disease management, population health management, utilization review , quality assurance , or discharge ... model. + Escalates questions or concerns during the assessment to the quality review team to ensure appropriate completion of UAS-NY and handling of on-site… more
- FlexStaff (New York, NY)
- …(5+) years of experience in care/case management, disease management, population health management, utilization review , quality assurance , or discharge ... delivery model. Escalates questions or concerns during the assessment to the quality review team to ensure appropriate completion of UAS-NY and handling of… more
- FlexStaff (Bronx, NY)
- …MAP, PACE, etc.). + 5+ years in case management, disease management, utilization review , or quality assurance . + Experience working with frail or elderly ... assessments using UAS-NY for prospective and enrolled PACE participants. + Review and update previous assessments, primary diagnoses, and medications in electronic… more
- Catholic Charities Family Community Services (Newark, NY)
- …and other record keeping as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation ... activities as directed. + Coordinates discharge planning for clients + Provides education to clients on health and wellness issues. + Participates in staff meetings and clinical supervision as directed + Actively pursues development of professional… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …duties as directed by Supervisor, supporting the agency's mission and client care quality . Department Utilization Review Employment Type Full-Time Minimum ... Centers Location: Inpatient Facility - Saranac Lake, NY Position: Full-time Utilization Review Specialist Shift/schedule: Monday-Friday, 8:00am-4:30pm Pay Range:… more
- Citigroup (New York, NY)
- …and thereby support senior management decision making around the globe. IA maintains a Quality Assurance (QA) function that reports to the Chief Auditor ... Quality Assurance and the Group Audit Committee....QA specific training). + Support QA Directors in the review and improvement of global IA methodology and practices,… more
- Helio Health Inc. (Syracuse, NY)
- …program's efforts to track, review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis ... quality of care and/or life. + Performs quality assurance activities to include: + Provides...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
- Gas Field Specialists (Horseheads, NY)
- … Control (QC) product inspections, Quality Acceptance tests of product and Quality Assurance (QA) process audits. * Assists with the sustainment and full ... utilization of the project QMS ( quality management...reports. * Coordinates with Hydro-test personnel, monitor tests, and review test reports. * Maintains equipment calibration records. *… more
- Samaritan Daytop Village (Rhinebeck, NY)
- …staff as needed with assuring compliance with external and internal utilization review / quality and appropriateness requirements. What qualifications ... or related field strongly preferred + Minimum of one year clinical or quality assurance experience in behavioral healthcare/human services organization. + Must… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(DOH) notifications and other regulatory requirements such as the National Committee for Quality Assurance (NCQA) guidelines. + Provides timely response to all ... you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service.… more
- Global Foundries (Malta, NY)
- …Global Process Owner (GPO) and cross-functional teams to ensure alignment of quality assurance initiatives with overall business objectives , meet compliance ... Essex Junction, VT. We are looking for a Technology Quality Engineer to join our team as part of...+ Accountable for effective execution of the TRB (Technology Review Board) business process at our fabrication (Fab) sites… more
- Comunilife (New York, NY)
- …The Program Coordinator will perform evaluations and maintain Comunilife policies and procedures, quality assurance , utilization review and outreach ... with the Sr. Vice President of Programs to assure quality psychiatric and psychosocial assessments are conducted prior to...+ Triage referrals and patient assignments to staff; monitor quality of clinical service and maximize number of individuals… more
- Comunilife (Jackson Heights, NY)
- …monitor budgeting. Oversee performance evaluations and maintain Comunilife policies and procedures, quality assurance , utilization review and outreach ... Contribute towards the development of strategies, tools, and tactics to improve the quality and offering of services. Provide outreach and promote LIP to schools and… more
- Catholic Health Services (Melville, NY)
- …of New York, as applicable. Certification by American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. 4. Knowledge, ... Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical… more
- Centene Corporation (New York, NY)
- …for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. + Prepares case reviews for Medical ... applicable criteria, and analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with State, Federal and NCQA… more
- Trinity Health (Troy, NY)
- …audits of patient charts in accordance with NYS Office of Mental Health Utilization Review (UR) regulations to ensure that recipients are receiving appropriate ... with goals of the department, system and state **Responsibilities:** + Understands Utilization Review regulations for outpatient treatment settings. + Regularly… more