- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. Bilingual candidates… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... of care and quality of Molina services provided. * Functions as hands-on manager responsible for supervision and coordination of daily activities. * Ensures adequate… more
- Maxim Healthcare (Syracuse, NY)
- Join Our Team as a Clinical Supervisor - RN at Maxim Healthcare ! Are you an experienced RN looking to move beyond bedside care? Do you crave a role that offers the ... no further - the Clinical Supervisor role at Maxim Healthcare might be just what you're searching for! Why...team. Enjoy the camaraderie and positive environment that Maxim Healthcare is known for. + Educational Opportunities: If you… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs… more
- Molina Healthcare (NY)
- …AM to 5 PM EST (No weekends or Holiday) **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, ... in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs… more
- Molina Healthcare (Albany, NY)
- …payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to ... + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination… more
- Bassett Healthcare (Cooperstown, NY)
- …best quality of life possible. What you'll do The LMSW - Inpatient Case Manager supports the clinical Unit C3 and care team to address patients' psychosocial needs. ... The Complex C3 maintains current knowledge of basic healthcare economics, trends and reimbursements methodologies and applies knowledge to daily practices. The… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of… more
- Molina Healthcare (NY)
- …with Outlook, Excel, Teams, and One Note. **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members ... in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs… more