- Molina Healthcare (Albany, NY)
- …and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + ... Fair Hearing Officer during Fair Hearings as may be required . + Serves as a clinical resource for Utilization...Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you… more
- LIFEPlan CCO NY (Ithaca, NY)
- Care Manager Job Details Job Location Ithaca - Ithaca, NY Position Type Full Time Education Level 4 Year Degree Salary Range $25.75 - $27.81 Hourly Travel Percentage ... Up to 50% Description Job Summary: The Care Manager provides services within the Care Management programs, including Health Home Care Comprehensive Care Management,… more
- GE Vernova (Saratoga Springs, NY)
- …the project. + Support RCA (root cause analysis), PSR (problem solving reports), in case required . Share lessons learned with the team in large during Team ... activities of the named project(s) in close cooperation with the project manager , project engineering team, and sub-contractors. The project engineering manager … more
- Datavant (Albany, NY)
- …of customer-centricity **What You Bring To The Table:** + 7+ years experience in healthcare technology and customer facing roles ( required ) + Proven ability to ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards ... cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as … more
- Elevance Health (Latham, NY)
- …in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at ... enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... MDS Coordinator RN The Glengariff Healthcare Center is looking for a talented and...that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents… more
- Elevance Health (Latham, NY)
- …Concentration preferred. **Preferred skills, qualifications and experiences:** + Certified Case Manager Certification preferred + Utilization management ... the delivery of essential services that address the total healthcare needs of members. **How you'll make a difference:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at… more
- CVS Health (Albany, NY)
- …or product management, product strategy, or consulting. + Experience within the Healthcare industry required . + Experience working in a Product organization ... heart, each and every day. Position Summary We are seeking a Senior Manager Product Strategy for our Weight Management product within our Care Management Solutions… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- Summary The ED Assistant Nurse Manager supports the Nurse Manager with supervisory duties and responsibility and accountability for the 24/7 operation of their ... individual performance. Responsibilities The duties of the Assistant Nurse Manager include, but are not limited to: Functions as...be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. You may be… more