- Molina Healthcare (Rochester, NY)
- …for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and ... * Leads, organizes, and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and… more
- Heath System Services (Niagara Falls, NY)
- …Medical Equipment and Supply provider , we are committed to high-quality patient care and teamwork. As the Senior Manager of Clinical Operations, you will ... Building and maintaining high-performing teams that consistently deliver excellent patient care . + Driving performance metrics, ensuring compliance, and fostering a… more
- Humana (Albany, NY)
- …and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Aspen Dental (Cheektowaga, NY)
- …you'll participate in an eight-week training program to succeed in your role. + Provide superior patient service with compassion and care in accordance with ... collaboratively with other members of the dental team to provide exceptional patient care + Consult with...verifying insurance payment and collection ensuring high quality of care + Under the direction of the Manager… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of treatments and healthcare related activities. REPORTING RELATIONSHIPS: Reports to Care Coordination Manager and shares a collaborative relationship with ... plans they need for healthy living. JOB SUMMARY: The Care Coordinator works within a multidisciplinary care ...canceled appointments. + Must reach daily scheduling quotas + Provide a daily report of all scheduled visits +… more
- Elmcrest Children's Center (Tully, NY)
- …management, documentation and support of the treatment and programming of youth within our care . Of equal importance is the Case Manager 's role of liaison, ... Case Manager Skeele Valley AOBH Job Details Level Experienced...accordance with Agency and State policies and procedures. + Provide direct support to families where needed (visitation needs,… more
- Rochester Regional Health (Rochester, NY)
- …Location: RGH Hours Per Week: 40 hoursSchedule: M-F Days SUMMARY:The Assistant Nurse Manager (ANM) is responsible for the clinical care to patients and ... team, and leadership. The ANM drives the staff to provide an exceptional experience for the patient and family....patient or family concerns in collaboration with the Nurse Manager /Director; promote optimal care through internal and… more
- Elmcrest Children's Center (Syracuse, NY)
- …staff meetings as needed and requested. + Work cooperatively with the Supervisor, Medicaid Managed Care Liaisons, and potential Care Manager , on each case to ... of youth in and around their communities. Responsibilities: + Provide high quality, well-informed therapy to children and families....plans to create a comprehensive and accurate strategy for care . + Work with Supervisor and Family to complete… more
- Northwell Health (Forest Hills, NY)
- …a case management intake assessment.Orients patient to the role of the case manager , the goals of care and expected length of stay.Discusses with ... workers and other health team members to expedite medically appropriate, cost-effective care . Assesses, plans, oversees and evaluates the appropriateness of care … more
- Arnot Health (Bath, NY)
- …needs. Participates in the quality assurance and CQI process. RE PORTS TO: Acute Care Nurse Manager DUTIES AND RESPONSIBILITIES: ** 1. Monitors for correct, ... staffing issues. ** 10. Informs Nurse Managers or Senior Manager promptly of variances in practices and regulatory compliance....programs as required by position. 28. In order to provide the highest quality care to our… more