- Humana (Albany, NY)
- …and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from… more
- Bassett Healthcare (Cooperstown, NY)
- …places each patient and verifies he/she is in the appropriate level of care and correct patient status/type. Uses clinical knowledge to plan and coordinate ... Intake Logistics Evaluates appropriateness of admission (patient status, level of care ) for direct admits and facility transfers. Anticipates and facilitates… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics ... insights for workforce decision-making (eg, staffing, learning and development, talent management , diversity and human resource compliance). The Senior Workforce … more
- Humana (Albany, NY)
- …concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate ... type of care as quickly as possible all while streamlining processes...+ Minimum 2 years of experience with a leading management consulting firm + Strong analytical & strategic skillset… more
- Humana (Albany, NY)
- …3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time management ... Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards knowledge is a… more
- SUNY Upstate Medical University (Syracuse, NY)
- …or acute care , transitional care , or chronic care RN/case management experience required. *If Associate in Nursing, must be enrolled in an accredited ... (3) years acute care RN or acute care , transitional care , or chronic care RN/case management experience OR Associates degree in Nursing and five (5)… more
- Prime Care Coordination (Webster, NY)
- …16 Clinical staff in providing staff training on Individual Plan of Care (IPOCs) and Conditions (ie, dining, exercise, transfers, ambulation, etc.)., attend clinical ... to provide staff training on IPOCs/conditions, adaptive equipment, and nutritional related care and relay clinical related questions to the clinical team via the… more
- Kaleida Health (Buffalo, NY)
- **Contract Management Specialist** **Location:** Larkin Bldg @ Exchange Street **Location of Job** : US:NY:Buffalo **Work Type** : Full-Time **Shift 1** **Job ... payers. Build and maintain contract models in Kaleida Health's contract management system application, generate payment variance reports, research variances and… more
- WMCHealth (Valhalla, NY)
- Case Management Assistant Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care ... link Job Details: Job Summary: The candidate works closely with the case management team and completes tasks in discharge planning services for patients admitted to… more
- Humana (Albany, NY)
- …be overseeing the vendor contracting, due diligence and day-to-day relationship management of Interoperability vendor partners. You will contribute to the growth ... expanding partnerships with key vendor partners. As the Vendor Relationship Management Enterprise Transformation Lead, the ideal candidate will be comfortable… more