- Molina Healthcare (NY)
- …we are seeking a (RN) Registered Nurse who has Compact RN licensure. Case Manager will work in remote setting supporting our Marketplace Population with. Case ... Manager will be complete assessments, care plans, educate members...a week after 5 PM EST) **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary… more
- Molina Healthcare (Buffalo, NY)
- …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... contracts with the Complex Provider Community that result in high quality , cost effective and marketable providers. Contract/Re-contracting with large scale entities… more
- MVP Health Care (Tarrytown, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Manager , Healthcare Sales** to join #TeamMVP. This is the opportunity for ... in CRM (Dynamics 365) to ensure the integrity and quality of the enrollment process. Communicate with Leader, Field...that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.… 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 ... to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based...and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume… 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...through discharge + Manage care delivery and personnel, ensuring high- quality clinical services + Orient and evaluate homecare caregivers,… more
- Molina Healthcare (Yonkers, NY)
- …regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to ... maintains an effective, consistent Vendor Management function + Supervise Molina Healthcare vendor management staff + Ensures departmental and individual performance… more
- Molina Healthcare (Buffalo, NY)
- …AM to 5 PM EST (No weekends or Holidays **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… 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 ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity 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 ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- CVS Health (Albany, NY)
- …opportunity to join our Digital Aetna Health Product Team as a Manager , Product Intake and Prioritization. Aetna Health strives to continuously innovate around ... and propose and implement solutions. . Advocate for improvements to quality , security, and performance. . Enhance intake-specific Standard Operating Procedures… more