- Humana (Albany, NY)
- …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director ... Medicine, Family Practice, Geriatrics, Physiatry, Emergency Medicine, Critical Care or hospital based clinical specialists + Ability to function in a dynamic fast… more
- Canon USA & Affiliates (Melville, NY)
- …be in the office Monday, Tuesday and Wednesday and an option to work from home the remainder of the week (unless a specific business need arises requiring in office ... office reporting requirements may change from time to time based on business needs. **Your Impact** - Responsible for...Attends the audit exit meetings and discusses findings with management to inform them of exceptions that were identified… more
- YAI (Manhattan, NY)
- …including children on the autism spectrum. Our mission is to provide high- quality services to children and their families in a comprehensive, developmentally ... based program which focuses on the whole child. Instructional...a friendly environment that facilitates open communication and participatory management , where you are valued as a professional and… more
- CDPHP (Albany, NY)
- …career. Established in 1984, CDPHP is a physician-founded, member-focused, and community- based not-for-profit health plan that offers high- quality affordable ... to members throughout New York. The company values people, quality , innovation, and community, and its corporate culture supports...Care Coordinator will work in support of the Case Management and Medicaid Long Term Support Services (LTSS) teams,… more
- CenterWell (Albany, NY)
- …. Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Experience working in value- based care settings . ... tools to best in class patient and population health management tools to make doing the right thing for...by Clinical Leadership. . Meet with clinic leaders about quality of care, review of outcome data, policy, procedure,… more
- Catholic Health Services (Melville, NY)
- …has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. ... our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time. We are… more
- STG International (Plattsburgh, NY)
- STGi is currently seeking a Clinic manager to provide services at our Community Based Outpatient Clinic JOB SUMMARY: The primary purpose of this position is to serve ... professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) and to manage patient care....(PCP) to ensure the clinic is adequately staffed for quality care delivery and the promotion of continuity of… more
- Centene Corporation (New York, NY)
- …OF NEW YORK **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high ... quality , cost-effective healthcare outcomes including personalized care plans and...+ Identifies problems/barriers to care and provide appropriate care management interventions + Coordinates as appropriate between the member… more
- TD Bank (New York, NY)
- …they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and ... Provides market research support in compiling and publishing high quality , comprehensive analysis and research on individual corporations, industries, financial… more
- Mount Sinai Health System (New York, NY)
- …The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness of the ... (ELOS). The CM works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of the interdisciplinary team as needed.… more