Managed Care Jobs in Edgewater (NJ)
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Search Results - Managed Care Jobs in Edgewater (NJ)
Montefiore Medical Center-Edgewater (NJ)
Experience in a managed care organization preferred
• Certification in Utilization Review or Case Management preferred
• Analytical skills, problem-solving skills, conflict resolution and negotiation skills
• Demonstrated knowledge of federal, state...
VNS Health-Edgewater (NJ)
and managed care preferred Hospice or palliative care experience preferred Experience as a patient advocate preferred For AIM only: Minimum of one year nursing experience in homecare or hospice required VNS Health Job ID #R011191.
Posted job title: Specialized...
VNS Health-Edgewater (NJ)
Medicare or Medicaid Managed Long Term Care health plans, preferred
• Experience in a managed care environment, preferred
• Experience in excel, preferred
VNS Health Job ID #R011576. Posted job title: Manager, Mltc Care Coordination
About VNS Health...
Robinson+Cole-New York, 8 mi from Edgewater (NJ)
Robinson+Cole, a Vault "Top Ranked" Am Law 200 firm, seeks an associate to join its expanding Managed Care and Employee Benefit Litigation Group in its Philadelphia, New York City, Hartford, Stamford, or Miami offices.
The ideal candidate will have...
mindmatch.ai -
VNS Health-Edgewater (NJ)
Employment Type: Staff
Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness...
Pioneer Data Systems-Parsippany, 24 mi from Edgewater (NJ)
time during or after the end of the contract.
You may participate in the company group medical insurance plan
Job Description:
Title: Managed Care Rebate Analyst/Consultant
Shift:
Monday Friday 8:00am 5:00pm - Hybrid or remote - Hybrid Tuesday...
resume-library.com -
Care One Enterprise-Livingston (NJ), 19 mi from Edgewater (NJ)
of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist...
Montefiore Medical Center-Fort Lee (NJ), 2 mi from Edgewater (NJ)
Master's preferred NYS RN License required PRI assessor number required prior to end of 3-month probationary period 3-5 years recent acute care clinical experience preferred Experience in utilization management preferred Experience in a managed care...
Pride Health-New York, 8 mi from Edgewater (NJ)
Experience with medical record review working on HEDIS/QARR in a managed care or health plan setting.
• 3 – 5 years in Quality Improvement in a health care and/or Managed Care setting strongly preferred.
• Knowledge of HEDIS and QARR specifications...
mindmatch.ai -
VNS Health-Edgewater (NJ)
from a program approved by the New York State Department of Education required
• Bachelor's Degree in nursing preferred
Work Experience:
• Minimum two years of experience in health related field required
• Care management and/or managed care...
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