- Rochester Regional Health (Rochester, NY)
- …potential inpatient medical necessity denials. Review patient class in the event manager , assist with LOC determination retrospectively, and changes patient class as ... in accordance with RRH policy and procedures. + Retrospectively communicates clinical information to payers, severity of illness, and intensity of service… more
- Northwell Health (Lake Success, NY)
- …are compliant with system policies, applicable laws, and contractual bargaining agreements . + Performs solution audits; resolves discrepancies, as required. + ... supporting critical enterprise research applications, including **REDCap, OnCore, and IRB Manager ** and other Research applications. + Demonstrated ability to manage… more
- Guthrie (Cortland, NY)
- …Oversees purchasing of foods, supplements, supplies and equipment. Utilizes Vizient contracts and/or Manufacture agreements . Promptly submits invoices and ... which 1 year must be at a management level Certified Dietary Manager preferred, but not necessary Skills: Strong, communication, interpersonal, organizational, and… more
- Magellan Health Services (West Point, NY)
- Provides assistance to the Family Advocacy Program Manager with FAP efforts including administrative support, analytics, coordination of services to the installation ... training, and direct services. + Assists the installation Family Advocacy Program Manager (FAPM) with coordination and implementation of all FAP efforts, providing… more
- CenterWell (Albany, NY)
- …manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance, training, and ... rules and regulations of ACO programs as outlined in model Participation Agreements ; liaise with CMS on day-to-day program administration * Responsible for obtaining… more