- UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Ensures all staff have appropriate training and documentation as outlined in our SACC and NYC DOH license, including Fingerprint / NYS Sex Offender / & State Central Registry (SCR) clearances, Staff Annual Medical Form, Mandated Reporter Training and any other requirement as outlined in our contracts and/or license to operate a school aged program.
Part-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We seek a highly skilled technologist with strong critical thinking and analytical abilities to independently perform in-vivo and in vitro clinical nuclear medicine diagnostic and therapeutic procedures per NYS-DOH requirements and ACR guidelines, while adhering to ALARA principles to protect patients and staff from radiation exposure.
$89,910 - $101,650 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
- Suggest Revision
This role may also support our solid waste management, environmental services, geotechnical engineering, oil and gas, water resources, and construction administration practice areas. This role will support a wide range of projects related to our Renewable Energy practice area in the areas of erosion and sediment control design, stormwater management design, and land development engineering.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Responsibilities for this role include but are not limited to the direct management of a union custodial staff, staff development, emergency response/ planning, supply ordering, inventory control, vendor management, management of repairs and maintenance activities.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
In this role, the Psychiatric Nurse Practitioner will be responsible for providing general clinical care including assessments, medication management and medication administration. Familiarity with OASAS, OMH, and DOH regulations.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Oversee MetroPlusHealth Plan's compliance with medical management and claims regulatory requirements, directing, engaging, and supporting internal departments to meet NYS DOH and CMS medical management and claims processing regulatory requirements.
$150,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of regulatory and compliance requirements in healthcare such as HIPPA, OMH, OASAS, DOH. Experience in Agile project management methodologies and tools such as Jira, Scrum, or Trello.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Works with managers, pathologists and staff (through evaluation and project management) to improve daily operations as they relate to compliance and quality. Responsible for establishing a process to routinely monitor compliance with all regulatory agencies including (CAP, DOH, OSHA, EPA, FDNY, and Joint Commission), through assessments and audits.
$73,770.8 - $122,951.34 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Experienced with NYS DOH and Joint Commission standards. Provides direct supervision to nursing staff on an assigned shift of a long term care facility to assure quality patient/resident care.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated Today
utilization management doh staff jobs Company: Metroplus Health Plan in Brooklyn, NY
FEATURED BLOG POSTS
How to Utilize Keywords for Your Job Ads
Before we give you the scoop on how to utilize keywords in job ads, it would be helpful if we defined what keywords are and why they are important. In simple terms,
What Makes a Good Paid Time Off (PTO) Policy
The world of work has undergone some major transformation in recent years. From remote and flexible work to increased emphasis on employee benefits and wellbeing, companies nowadays have to be very intentional about their HR policies and how they approach talent acquisition.
Internal Recruiting: Benefits and 5 Internal Recruiting Methods to Consider
Internal and external recruiting are nearly the same thing. The biggest difference is where candidates are sourced. There are instances where external recruiting may be the best option. However, when you are presented with the opportunity to recruit internally, you should take full advantage of the different internal recruiting methods. Initially you will find that the hiring process gets a little bit easier. Then you'll notice all the other benefits that internal recruiting offers.
How to Answer the Interview Question: What is Your Communication Style?
As a job searcher, you probably have so many questions about job searching. However, once you've landed an interview, your excitement takes your questions to a whole new level. What will you wear? Will you know how to answer all the questions? Have you practiced giving nice firm handshakes?
What Makes a Company a Great Place to Work
After one too many after-hours emails, you’re on the hunt for a new gig. But what makes a company a great place to work? And how will you know when you find one? Finding a motivating, safe, and productive work environment is important for our mental and physical health. If you’re financially frustrated, creatively stuck, or just plain over it, it’s time to find a healthier workplace where you can flourish.
What Makes a Good Boss? The Top 12 Qualities & Attributes
Think back to the best boss you’ve ever had—does someone come to mind? We hope so! Okay, now think back to the worst boss you’ve ever had. I’m sure you can conjure up a few faces.
How Does Temp to Hire Work? Benefits, Concerns, & More
Whether you’re just starting out your career or are looking for the next opportunity, the job market has never been more burgeoning with opportunities. From flexible work options and freelancing gigs to seasonal and temp-to-hire work, people today are spoiled for choice when it comes to finding engaging and fulfilling work.