NYU Langone Health: Academic medical system providing comprehensive patient care and education.
3+ YOELicensed Registered Nurse in NY; Bachelor's in Nursing; BLS; 3 years acute care with leadership; strong communication and data analysis; knowledge of quality improvement.
Hackensack Meridian Health: Provides comprehensive medical care through a network of hospitals.
5+ YOEBSN required; 5+ years acute care nursing experience; quality improvement and teaching experience; NJ RN license required; proficiency with NDNQI/NHSN, Google Suite/Microsoft Office.
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$90k-$173k/yrOnsiteFull Time
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOERequires one year of specialized education and training experience at the next lower federal grade, including course development, training coordination, instructional design, needs assessment, or quality improvement.
Quality of Life Specialist (HHA) - Full Time & Part Time
Purchase, New York, United States
$20-$21/hrOnsiteFull Time, Part Time
Broadview at Purchase College: University-based retirement community offering independent and assisted living services.
1+ YOENYS HHA certification required, HS diploma/GED required, CPR/First Aid preferred, 1 year HHA/assisted living experience preferred, English proficiency, able to lift up to 50 lbs and perform resident care.
Appeals and Grievances Clinical Specialist/ Quality Of Care
New York City or Lake Mary
$83k-$120k/yrHybridFull Time
Healthfirst: Non-profit health insurance provider serving New York residents.
Active RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review or case management; knowledge of utilization review guidelines and ability to manage large caseloads.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
Appeals and Grievances Clinical Specialist/ Quality Of Care
New York or New York City or Lake Mary
$73k-$120k/yrRemoteFull Time
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
Active RN required; experience in appeals & grievances, utilization review, or case management preferred; familiarity with utilization guidelines and ability to manage large caseloads under regulatory timeframes.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
NYC Health + Hospitals: The largest municipal health care system in the US.
4+ YOEValid NY RN/NP/PA license; BSN (or medical degree alternative) with 4 years acute care experience (or 2 years for NP/PA); performs medical record review, physician queries, and documentation quality assurance.