Managed Care Jobs in Brooklyn (NY)
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Search Results - Managed Care Jobs in Brooklyn (NY)
BMS Family Health and Wellness Centers-Brooklyn (NY)
with polices, * procedures and objectives of the health Center.
• Through coordination with medical providers and Patient Care Coordinators, ensures clinical practice compliance with Managed Care/HMO, and Federal and State guidelines.
• Participates...
Brooklyn (NY)
appointments as by physician at the end of visit. Also, obtains required Managed Care authorizations.
• Notifies patients of scheduled appointments and contacts/no-show patients for reappointments as directed.
• Ensures confidentiality of medical records...
onebrooklynhealth.org -
Acacia Network-Brooklyn (NY)
with the Benefits department to ensure client financial status via Medicaid and other managed care funding source. May need to review financial information as needed to determine ability to pay for services.-Meet with residential clients within discharge phase...
smartsearchonline.com -
Brooklyn (NY)
hiring and supervision of clinical staff, clinic management.
• Strong operational knowledge of Medicaid, Medicare, private insurers and Managed Care inclusive of laws, regulations, and the contracting process.
• Operational knowledge of budgeting...
icims.com -
Brooklyn (NY)
to influence formulary status, as applicable
• May analyze impact of managed care in the territory and its effect on prescribing decisions, and modify sales and promotion strategies
• May develop and utilize relationships with specialists, key hospital...
tiptopjob.com -
Brooklyn (NY)
and leadership skills.
• Preferred experience with an academic medical center or complex healthcare system.
Knowledge and Skills:
• Broad knowledge of health care administration, principles and practices within a managed care environment and/or an academic...
onebrooklynhealth.org -
Centers Care Solutions-Staten Island, 10 mi from Brooklyn (NY)
RN Care Manager
Join the excitement in support of our MLTC and Medicare Advantage Plan businesses!
Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all...
Brooklyn (NY)
hospitalizations, and readmissions with follow up as necessary.
• Verification of payer source, i.e., Medicare, managed care, Medicaid, insurance.
• Demonstrates knowledge of Medicaid reimbursement/enrollment systems and ensures accurate payment structure...
onebrooklynhealth.org -
The Grand Pavilion for Rehabilitation and Nursing at Rockville Centre-Rockville Centre, 18 mi from Brooklyn (NY)
including Medicare, Managed Care and Medicaid
Ensures timely electronic submission of all Minimum Data Sets to the state data base. Reviews state validation reports and ensures that appropriate follow-up action is taken
Facilitates the Care Management...
Athari-New York, 7 mi from Brooklyn (NY)
Maintain current awareness of evolving regulations and interpretations, advisory letters, enforcement letters and policy issues impacting managed care organizations
Continually assess the effectiveness of departmental functioning, including the people...
resume-library.com -
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