- Catholic Health Services (Rockville Centre, NY)
- …involves either the Director of Sales & Marketing or the General Manager . (Based on reporting structure). Demonstrates thorough knowledge of core therapy referrals ... by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare . Evaluates current and future clinical and service needs for existing and new… more
- Albany Medical Center (Albany, NY)
- …Specialist or Substance Abuse Specialist. + Works collaboratively with the medical provider, case manager , psychiatrist (if warranted), and other team members in ... as a participating provider with managed care private insurance plans, Medicare , and Medicaid. Experience working with a medically compromised patient population… 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 ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...understanding of MDS requirements related to varied payers including Medicare , Managed Care and Medicaid + Ensures timely electronic… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Health Plan regions Essential Accountabilities: Level I * Educates Medicaid, Medicare , and Commercial members on healthcare benefits, and community resources through ... home visits and outreach. * Educates and assists members with accessing care, Case Management program and benefits and government cell phone programs. * Coordinates,… more
- VNS Health (Manhattan, NY)
- …reports of providers for relevant patient data. Communicates patient condition to Clinical Field Manager and case manager in a manner that is focused ... concerns, escalating them as needed to the appropriate Clinical Field Manager or Branch Director. * Collaborates with scheduler, patients, caregivers, clinical… more
- Molina Healthcare (Buffalo, NY)
- …the pharmacy benefit changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary care team. + Works ... the pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve clinical...License for workplace and plan location. **Preferred Experience** + Medicare Part D or Medicaid experience. + Managed care… more
- Cardinal Health (Albany, NY)
- …helps manufacturers rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support ... prior authorizations, and appeals, preferred (2+ years) + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred… more
- GE HealthCare (NY)
- …and shared volume targets. Along with your Cardiac PET Account Manager , conduct regular business analyses of the local market-customers, payers, competition, ... and patient flows. + Complete understanding of all levels of MCO/ Medicare /Medicaid reimbursement issues and impact on business performance; identify potential… more
- BAYADA Home Health Care (Norwich, NY)
- **At Home Care, Inc. is a Medicare certified home health agency with a 4 STAR Rating for quality and patient satisfaction!** **At Home Care, Inc.** is looking for a ... + Monitor clients' conditions, reporting changes to Clinical or Client Services Manager . + Follow up with, execute, and properly document doctors' orders. +… more
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