- Elevance Health (Woodbridge, NJ)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead ** is responsible for leading a team of… more
- MTA (Bellerose, NY)
- Staff Nurse Job ID: 8880 Business Unit: MTA Headquarters Location: Bellerose, NY, United States Regular/Temporary: Regular Department: Occupational Health Services ... Date Posted: Sep 17, 2024 Description JOB TITLE: Staff Nurse SALARY : $ 87,000 DEPT/DIV: Occupational Health Services...Records test data into electronic Medical Records system + Audit all data entries . + May administer Hepatitis… more
- Elevance Health (New Hyde Park, NY)
- …York City, NY; Albany, NY; Lake Success, NY; Latham, NY; Middletown, NY** The Nurse Case Manager Sr. is responsible for care management within the scope of licensure ... health care across the care continuum. Performs duties telephonically. You will lead the day-to-day activities of the Maternal Child Health operations which includes… more
- FlexStaff (Queens, NY)
- …staff, including rehabilitation, nutrition, social work, and home services teams. + Lead care planning meetings, ensuring timely execution and resolution of any ... standards and quality assurance processes, contributing to successful certification and audit outcomes. + Investigate and resolve participant grievances and customer… more
- Elevance Health (Woodbridge, NJ)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Elevance Health (Woodbridge, NJ)
- …evaluates effectiveness of the social work goals. + Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of ... as individual member needs are identified. + Participates in NJ state audit activities and assists management of day-to-day housing activities, such as monitoring… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Transformation Facilitator (PCPF) will report to the Patient Centered Transformation Practice Lead who reports to the Manager of Outcomes. The PF will support ... improvement workflows occurring within them into a cohesive whole. + PCMH Practice audit quarterly: assure practice is maintaining NCQA standards. + Work with team… more