- Option Care Health (Orchard Park, NY)
- …with the policies and procedures of the Option Care, current pharmacy practice professional standards, and other regulatory entities. The Pharmacy Manager is ... supplies. The Pharmacy Manager is responsible for assisting the Operations Director meet operational and financial goals for the location. **Job Description:**… more
- Mount Sinai Health System (New York, NY)
- …of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) is responsible for reviewing and verifying that all billable services and ... care and medical billing and reimbursement. This position will report to the Senior Director . This role will serve as a crucial link in the revenue cycle, ensuring… more
- Mohawk Valley Health System (Utica, NY)
- RN Care Manager - Occasional - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Manager is responsible for completing a comprehensive assessment to ... to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an… more
- Mount Sinai Health System (New York, NY)
- …Physician Grade: Faculty Reports to: School Based Health Center Program Medical Director , Mount Sinai Adolescent Health Center **Primary Purpose:** The Mount Sinai ... day-to-day operations, in collaboration with the School Based Health Center Administrative Practice Manager, in the care and treatment of patients as delineated in… more
- Mount Sinai Health System (New York, NY)
- …at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) combines advanced financial analysis with a strong professional healthcare revenue ... workflows and quality reporting measures. This position will report to the Director of the Enterprise CDM. **Qualifications** + Bachelor's degree in public… more
- WMCHealth (Valhalla, NY)
- …NYS RN license. Thorough knowledge of nursing theory, nursing practice and practice standards for Utilization Management as related to Medicare, Medicaid and ... opportunities to improve reimbursement. 3. Provide direction to the Case Management staff in relation to denials/appeals which includes training and monitoring… more
- Whitney Young Health Center (Albany, NY)
- …psychosocial and age-related needs. In a collaborative effort with provider, clinical, practice associate and customer service staff, acts as central figure for ... to care. The Triage Registered Nurse contributes to an environment where professional practice is actualized, and patient outcomes are measured. The Triage RN also… more
- Evolent (Albany, NY)
- …and prior approvals. Tasks are performed within the RN/LVN/LPN scope of practice , under Medical Director direction, using independent nursing judgement and ... do not meet established clinical criteria to the Medical Director . + Appropriately identifies and refers quality issues to...+ Minimum of one year of experience with medical management activities in a managed care environment… more
- Catholic Health Services (Farmingdale, NY)
- …Palliative Medicine consultative services as a member of the Catholic Health Symptom Management & Supportive Care Service team. This position will be onsite at St. ... Provide consultation services in palliative medicine as part of the Symptom Management & Supportive Care Service Interdisciplinary Team. + Provide medical evaluation… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you, we encourage you to apply! Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management … more