- Healthfirst (NY)
- …or needs and monitoring screening of members effectively to improve quality and cost outcomes** + **Communicate with Inter//Intra-departments regarding reconciling ... Epaces, Sharepoint** + **Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care//Case Management … more
- Sumitomo Pharma (Albany, NY)
- …and analytical reasoning and problem-solving ability. Able to deliver at high quality , in a fast-paced, dynamic environment and able to manage competing priorities ... experience, or 5 years equivalent experience + Clinical Operations, Project Management , Clinical Outsourcing, and/or CRO relevant industry provider Outline the… more
- Bassett Healthcare (Oneonta, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do Under general supervision by the Supervisor, ... with the Medical Director of Respiratory Care Services, the Respiratory Specialist is responsible for assisting in the development, implementation, and… more
- CUNY (Queens, NY)
- Associate Director - Clinical Healthcare Programs (Continuing Education Manager) **POSITION DETAILS** Founded in 1971 in Long Island City, Queens, LaGuardia ... Director of Workforce Development, the Associate Director of Clinical Healthcare Programs develops, implements, and improves industry-informed and student-centered… more
- Molina Healthcare (Albany, NY)
- …Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare ... with preparation of delegation summary reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. +… more
- Molina Healthcare (Albany, NY)
- …Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare ... medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting… more
- Molina Healthcare (Albany, NY)
- …Summary** The Care Manager (BH) provides support for care management /care coordination activities and collaborates with multidisciplinary team coordinating ... progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. The Care Manager will be supporting our… more
- Molina Healthcare (NY)
- …**Job Summary** The Care Manager provides support for care management /care coordination activities and collaborates with multidisciplinary team coordinating ... progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting our… more
- St. Mary's Healthcare (Amsterdam, NY)
- St. Mary's Healthcare has been providing high- quality , compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Mary's ... the Rao Outpatient Pavilion and other locations, the local, independent healthcare organization offers the comprehensive, critical services its community needs and… more
- Rochester Regional Health (Rochester, NY)
- …coding guidelines and proper documentation requirements as it relates to data quality management and reimbursement. + Responsible for the recruitment, selection, ... the CDI clinicians, coders, and all members of the healthcare team to ensure accurate and timely clinical documentation...the department managers for Revenue Integrity, Coding and Data Quality , Case Management and Health Information … more