- New York State Civil Service (Schenectady, NY)
- …HELP No Agency Justice Center For The Protection Of People With Special Needs Title Quality Care Facility Review Specialist 1 Occupational Category ... 12305 Duties Description Under the general supervision of a Quality Care Facility Review...duties:* Conduct on-site and desk audits and reviews of facilities and/or programs under Justice Center jurisdiction.* Conduct in-depth… more
- New York State Civil Service (Delmar, NY)
- …HELP No Agency Justice Center For The Protection Of People With Special Needs Title Quality Care Facility Review Specialist 1 Occupational Category ... Needs; investigating complaints and allegations of abuse and neglect of persons receiving care from a facility or provider covered under the jurisdiction of… more
- MVP Health Care (Schenectady, NY)
- …of clinical nursing experience. + At least 2 years in utilization management sub-acute care review . + 2+ years of supervisory experience + Strong understanding ... of concurrent review , sub-acute care , rehabilitation, and skilled nursing...complex cases. + Collaborate with interdisciplinary teams, providers, and facilities to resolve care coordination issues. +… more
- NY CREATES (Albany, NY)
- …and WWT (Wastewater Treatment) systems to meet the required standards of purity, quality , and facility performance with a focus on design, installation, ... Location: Albany, NY Category: Facilities Posted On: Thu Jan 30 2025 Job...and systems to meet the required standards of purity, quality and facility performance. + Participation in… more
- Molina Healthcare (Albany, NY)
- …appropriate reimbursement to providers. * Identifies and reports quality of care issues. * Assists with complex claim review including diagnosis-related ... and billing/coding guidelines and regulations. Contributes to overarching strategy to provide quality and cost-effective member care . For this position we are… more
- Fresenius Medical Center (Albany, NY)
- …Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May ... + Previous patient care experience in a hospital setting or related facility preferred. + Continued employment is dependent on successful completion of the FMCNA… more
- Fresenius Medical Center (Albany, NY)
- …meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be ... **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct… more
- Cardinal Health (Albany, NY)
- …proficiently transcribes call center records for quality purposes + Able to quality review adverse events submitted by staff before submission to client ... preferred + 2 years of transcriptionist experience preferred + 2 years of quality review experience preferred + Certified Medical Transcriptionist (CMT) strongly… more
- New York State Civil Service (Albany, NY)
- …investigations/surveillance. Review investigative reports and statements of deficiency; Review pertinent facility information and survey history, prior to ... NY HELP Yes Agency Health, Department of Title Health Care Surveyor 3 (Nursing) (NY HELPS) - 82720 Occupational Category Health Care , Human/Social Services… more
- MVP Health Care (Schenectady, NY)
- …initiatives in collaboration with other senior leaders to promote appropriate care quality , service utilization, medication utilization and adherence, ... At MVP Health Care , we're on a mission to create a...of NYS child serving systems. + Experience with critical review in clinical scenarios is desirable. + Knowledge of… more
- CVS Health (Albany, NY)
- …all with heart, each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Albany, NY)
- …:** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, application of ... inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with… more
- Cardinal Health (Albany, NY)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... they need for a better quality of life. Our diverse expertise in pharma, payer...Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink… more
- Cardinal Health (Albany, NY)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... they need for a better quality of life. Our diverse expertise in pharma, payer...Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink… more
- Elevance Health (Latham, NY)
- **Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse or substance… more
- Cardinal Health (Albany, NY)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... they need for a better quality of life. Our diverse expertise in pharma, payer...Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink… more
- Cardinal Health (Albany, NY)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... they need for a better quality of life. Our diverse expertise in pharma, payer...Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink… more
- MVP Health Care (Schenectady, NY)
- …with providers, facilities , and interdisciplinary teams to ensure optimal patient care and resource utilization. + Document review outcomes and maintain ... At MVP Health Care , we're on a mission to create a...with regulatory and organizational standards. + Participate in audits, quality improvement initiatives, and training sessions. + Maintain current… more
- CVS Health (Albany, NY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... by physicians and other qualified healthcare providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet… more
- Cardinal Health (Albany, NY)
- …that special requirements are included in an order. **_Responsibilities_** The Customer Care Representative operates as a "Universal Agent", who is able to meet ... preferred + Excellent Phone Skills with a focus on quality + Previous experience being able to achieve daily...a provider of performance and data solutions for healthcare facilities . With 50 years of experience, approximately 48,000 employees… more