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Ensures assigned Safety Policies maximize compliance with the diverse mandates of agencies such as TJC, CMS, the FDNY, the NYS DOH, the NYC DOMHH, OSHA, the EPA, the NYS DEC, the NYC DEP, the US DHHS. Stays current with institutional policies and procedures, implements and communicates requirements to staff, as appropriate.
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Build strong/collaborative relationships with upstream and downstream departments, including Provider Network Operations, to ensure timely resolution of provider inquiries and prevent escalation to DOH/DFS or other regulatory bodies.
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Staff are considered fully vaccinated upon completion of a primary vaccination series for COVID-19 (i.e., one dose of a single dose vaccine or a final dose of a multi-dose vaccine series). Manage the physical environment of the laboratory in accordance with New York State DOH, Joint Commission, OSHA and CLIA regulations.
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Acts as primary interface with local jurisdictions for franchises, with utilities for pole attachment and conduit agreements, with each state’s one-call system, DOH/DOT, Railroad companies, and other utility owners.
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Director Care Coordination- Major Responsibilities Criteria A: Provides direct management to Care Coordination Staff. Director Care Coordination- Major Responsibilities Criteria A: Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials.
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Conduct needs assessment utilizing the UAS-NY/DOH tool to determine members' qualification for Long Term Care services. Comply with NY State DOH guidelines on completion and timely finalization of all UAS assessments.
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The Chief Toxicologist provides direct support to the forensic pathologists who are on staff at the OCME. Examiner and staff forensic pathologists for their individually assigned medicolegal death.
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Familiarity with OASAS, OMH, and DOH regulations. Participate in clinical training and staff development. In this role, the Psychiatric Nurse Practitioner will be responsible for providing general clinical care including assessments, medication management and medication administration.
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The Staff Engineer will collaborate with a team of multi-disciplined engineers and scientists, project managers, CAD designers, and other staff to service our client’s needs. ARM Group LLC is looking for a self-driven and energetic Staff Engineer who is looking to grow and embodies an ownership mentality.
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Internally, the UM Coordinator will interface with hospital management, staff, and patients. The Utilization Management Coordinator is responsible for all utilization management activities for assigned cases from admission through discharge, including peer reviews and appeals, in accordance with the Utilization Review Plan, for patient population ages 5 years through 21 years, with significant behavioral health needs and Autism Spectrum Disorders or other developmental disorders.
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We value justice in the largest sense possible, not only one person at a time legal solutions, but broad, transformative solutions created in combination with immigrant leaders, CASA organizers and other staff, other local and national organizations and direct service staff.
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Your field duties will include the following: supervision and performance of construction quality assurance and construction quality control activities in several states, including the construction of landfill components and other environmental control systems; collaboration and coordination with senior staff and management and direction of support staff.
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Insight Global is seeking permanent Staff Internal Auditor to support an established healthcare/retail client in Deerfield, IL. This individual will assist with Financial, Operational, and compliance audits or investigations- under general supervision of a more experienced auditor.
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Initiate, plan, conduct and direct research and development projects to resolve complicated issues related to silicon anode materials which require advanced knowledge in Chemistry, Materials Science and Engineering and Electrochemistry.
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With the collaboration of the SBHC program manager, the NP is responsible for ensuring the SBHC site follows continuous quality assurance standards and meets DOH compliance, including but not limited to: timely submission of meeting minutes, completion of emergency drills, completion of environmental surveys, ensure adherence of all staff to HIPAA and HITECH requirements, etc.
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utilization doh direct staff jobs Company: Metroplus Health Plan in Brooklyn, NY
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