- State University of New York at New Paltz (New Paltz, NY)
- …(https://ethics.ny.gov/ system ... I Contact For + NYS Public Officers Law Book (https://ethics.ny.gov/ system /files/documents/2024/10/coelig-laws-regs-book-final-september-2024-for-posting.pdf) + Ethics Handbook for NYS Employees Connect With… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …in a manner that is compliant with Center for Medicare and Medicaid Services ( CMS ) and company policies and regulations. The Licensed Benefits Advisor will develop a ... Care Medicare HMO Plan sites located throughout the five (5) boroughs. Territory Management + Maintain Centers Plans for Healthy Living Advantage Care Medicare HMO… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …to reeducate them and orient them on the CPHL benefits and health delivery system access. + Conduct daily surveys to members who have submitted a dis-enrollment ... and plan changes applications. + Refer escalated inquiries to Management . + Reduce monthly dis-enrollments and maintain a low...acceptable rate 10% or better + Adhere to all CMS , CPHL and departmental rules and regulations. + Develop… more
- Acosta Group (Buffalo, NY)
- …surveys, promotion selling and product merchandising, resulting in incremental sales volume. Associate CMs have same selling duties as others in the job family for ... as requested. + Communicates competitive and market activity to management . + Utilizes supplied technology to report on results....the ability to work effectively with team members, peers, management and external customer contacts. + Home space to… more
- Stony Brook University (Stony Brook, NY)
- …multidisciplinary care is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via assessments ... with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels...to all State and Federal requirements, RN license, JACHO, CMS and DOH regulations. * Maintain high level customer… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …Coordinator is an essential team member of Centers Plan for Healthy Living's Care Management department and assists with the care of all members enrolled in CPHL's ... as part of routine follow-up and collaborates with Care Management to ensure the member's care needs are met....carried out in compliance with CPHL policies, NY State, CMS , and Federal regulations + Other assigned duties Education… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …work operations by documenting and communicating needed actions to management ; discovering irregularities; determining continuing needs for Tele-Sale Agents, Benefit ... Medicare Support Specialists are conducting activities that are in compliance with CMS /DOH and company guidelines by directly reporting to the Training Director +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …for Healthy Living (CPHL) claims. Collaborates with other Health plan departments and Management to ensure claims are processed in accordance with Federal, State and ... monitoring their use and identifying any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of identified trends. +… more
- Garnet Health (Middletown, NY)
- Overview At Garnet Health, the Hudson Valley's leading integrated health system , you'll find the perfect balance of a satisfying career and a rewarding lifestyle. ... people we serve. If you're interested in a health system that's both growing and award-winning, serving a diverse...grievance according to Center for Medicare & Medicaid Services ( CMS ) guidelines. The Patient Experience Assistant will work under… more
- Catholic Health (Cheektowaga, NY)
- …are current and compliant with applicable federal and state regulation and with CMS and AMA coding guidelines. The Director will be responsible to maintain coding ... auditors and coding vendors. Overall, the director will leverage project management skills, clinical knowledge, coding knowledge and understanding of regulatory… more