Managed Care Jobs in New York State
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Search Results - Managed Care Jobs in New York State
Yonkers
to be Community Strong
Responsibilities:
The Managed Care Coordinator will coordinate the provision of inpatient chemical dependency treatment services with third party payers, including commercial insurers and managed care companies. He/She will coordinate...
icims.com -
Centers Care Solutions-Farmingdale (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...
Athari-New York
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 -
MJHS-New York
Job Description
Job Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services...
Integrated Resources, Inc-New York
of two years relevant work experience in a managed care, health plan or provider office setting.
Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access.
Proficient in Adobe Pro for file extracting, splitting...
resume-library.com -
gpac-New York
based strategies to prevent hospitalization and inappropriate ER utilization.
• Engage members and families to optimize wellness, self-care, and functional capabilities.
• Oversee managed care caseload, evaluating assessment data and clinical notes...
ProMed Staffing Resources-Bronx
including Food Stamps, Social Security, Medicare, Medicaid, Public Assistance, WIC, managed care, and other health insurance. Complete all documentation, record keeping, and progress notes in a timely manner. Responsible for completing forms required...
resume-library.com -
Family Service League Inc.-Bay Shore (NY)
Correspond with managed care companies.
• Apply for benefits for clients (i.e., Medicaid, SSI/SSD, HEAP, Food Stamps, etc.).
• Provide crisis intervention.
• Cover the crisis phone.
• Participate in daily team meetings and case conferences.
• Conduct daily...
Mount Sinai Health System-New York
the patient population; - Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely fashion.
• Provides clinical information requested by the managed care companies in accordance with contractual...
Doctor's Choice Placement Services, Inc-Southeast (NY)
patients in the hospital and take weekend call, which is 1:5.
The patient base is fee-for-service, with no managed care or HMO work. This is a thriving practice in a stellar location.
#J-18808-Ljbffr...
appcast.io -
Mount Sinai Health System-New York
Review) requirements of each payor within the patient population; - Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely fashion.
• Provides clinical information requested by the managed...
Tempositions, Inc.-New York
system.
• Submit insurance claims and follow up on claims processing through clearinghouses.
• Monitor and resolve claim denials from Medicaid, Medicare, Managed Care, and other payers.
• Verify patient eligibility and coverage across various providers...
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...
1 similar job: Fresno
Mitchell Martin-New York
At least 5-7 years of experience in managed care clinical operations, with 3+ years in a supervisory or managerial role.
For Non-Registered Nurses: 10+ years of experience in managed care compliance, clinical operations, or quality management auditing...
resume-library.com -
The Grand Pavilion for Rehabilitation and Nursing at Rockville Centre-Rockville Centre
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...
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