- Elderwood (Amherst, NY)
- Salary Pay: $18.50 - $23.07 / Hour Overview Managed Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN/RN MDS ... The candidate is the primary liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax, email, scan… more
- Cardinal Health (Albany, NY)
- …lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship ... role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions. **_Responsibilities_**… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... healthcare requirements + The unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The Medicaid Managed… more
- CDPHP (Latham, NY)
- …of that experience. Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician (Pharmacy Tech) is responsible for administering ... CDPHP member and client-specific programs aimed at optimizing pharmacy benefits and the prescription process. This position will handle live calls to members as well as physicians and pharmacists, to provide information regarding pharmacy benefits, formulary… more
- HCR Home Care (Canton, NY)
- …client's care to effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of the Care Team ... clients using the development of person-centered goals, culturally competent care management, and professional healthcare and social service coordination. Health… more
- Stony Brook University (Stony Brook, NY)
- …clinical and all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for ... Training + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in Case Management, UR, Quality or Risk +… more
- East House Corporation (Rochester, NY)
- …person-centered Plans of Care in accordance with Health Home and Managed Care Organization requirements. + Facilitate effective transitions of care ... by collaborating with hospitals, treatment providers, and Managed Care Organizations. + Engage family members, natural supports, and service providers in the … more
- Lakeview Health Services (Geneva, NY)
- …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional ... needed + Collaborate with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of care + Address the… more
- Lakeview Health Services (Geneva, NY)
- …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members + Develop and maintain professional ... needed + Collaborate with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of care + Address the… more
- Whitney Young Health Center (Albany, NY)
- …Case Manager (CM) certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary ... Manager (CM) certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants will receive… more