- Highmark Health (Albany, NY)
- …range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in ... active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case management … more
- Humana (Albany, NY)
- …or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in English and Spanish **Work-At-Home Requirements** ... Our nurses are titled Care Managers, because our case management services are centered on the person rather than...of the business day, primarily through an auto dialer system . Environment is fast paced and requires ability to… more
- Health Advocates Network (New Rochelle, NY)
- …+ M-F typical hours 8:45am-4:45pm **Duties include:** 1) Completes mandatory Federal ( CMS ) reports, data entry and tasks required for Federal reimbursement and to ... 3) Entering Survey Data in Aspen Central Office electronic Federal reporting system 4) Creating survey letters to providers, tracking survey event status in… more
- Rochester Regional Health (Rochester, NY)
- …slots, based on brief patient interview. Assisting with provider EHR document time management , to assure providers have time in schedule to complete all EHR ... signs to acknowledge documentation is accurate as required by federal/state and CMS regulations and DNV certification. Provide effective and timely communication or… more
- PVH Corp. (New York, NY)
- … strategy to drive aligned / 360 storytelling across platforms with consistency ** Content Management ** + Develop a quarterly editorial calendar aligned to the ... You'll Bring:** + 8 - 10+ years in editorial, internal communications, or digital content management + Excellent storytelling, editing, and content planning… more
- Centene Corporation (East Syracuse, NY)
- …field or equivalent experience. 4+ years of experience in Sales, Healthcare, Medicare, CMS Regulations and/or Management . Experience in working with or managing ... experience. Prior experience working with brokers/agents along with territory management experience is preferred. **License/Certification:** Active health insurance license… more
- Cognizant (Albany, NY)
- …you will:** * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI information. * ... Assigning special projects or other duties as determined by management . **What you need to have to be considered:**...CPT, HCPCS, ICD-10 + Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims +… more
- Binghamton University (Binghamton, NY)
- …one year experience in managing structured data (such as spreadsheets, databases, or CMS content ) Preferred: + Experience implementing or maintaining a metadata ... - $95,000 Binghamton University seeks an experienced Manager of Content and Data Curation to work within the Division...+ Bachelor's degree (or higher) in information science, data management , computer science, library science or a related field… more
- PVH Corp. (New York, NY)
- …senior leadership + Basic knowledge of intranet platforms, e-mail distribution tools, and CMS systems + Strong project management skills; highly organized; can ... the Senior Coordinator, Communications will support the development and distribution of content and programming that connects the global People function team, drives… more
- WMCHealth (Suffern, NY)
- …chemical dependency units at Bon Secours Community Hospital in accordance with CMS , Joint Commission, OASAS, and OMH standards and guidelines. Candidate will also ... provide consultation liaison to medical floors, nursing homes, and emergency department, and perform telepsychiatry services with St. Anthony Community Hospital. RESPONSIBILITIES: . Provides primary patient care on inpatient mental health unit and chemical… more