- Centers Plan for Healthy Living (Staten Island, NY)
- …proficiency + Strong multi-tasking abilities Preferred: + Experience working within a managed care environment + Experience working with the geriatric population ... a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …department and assists with the care of all members enrolled in CPHL's managed care plans. The Field Coordinator schedules and completes in-person visits as ... to detail and multi-tasking skills Preferred: + Experience working in managed care environment + Experience working with geriatric population + Bilingual… more
- UHS (Johnson City, NY)
- …for securing prior authorizations for services provided to patients with commercial or managed care insurance plans. Your work helps ensure timely access to ... policies, and payer expectations + Maintains current knowledge of commercial and managed care insurance requirements to ensure compliance and reduce delays… more
- Mount Sinai Health System (New York, NY)
- …at least bi-weekly appointment with each patient on caseload * Interfaces with managed care companies and referral sources to implement Treatment Plans * ... members of the hospital staff and extended community * Communicates effectively with managed care , insurance companies, EAP's, and other current or potential… more
- Mount Sinai Health System (Greenlawn, NY)
- …colleagues + Must have excellent verbal communication & listening skills + Knowledge of managed care plan requirements + Ability to organize and prioritize and ... assist them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required services, admissions, procedures,… more
- Stony Brook University (Stony Brook, NY)
- …exhaust notifications to the Business Office. + Provides requested documentation to managed care companies and monitors for necessary authorizations. **Required ... care experience. Experience with computerized MDS process. Experience with managed long term care policies. Experience with Veteran's Administration required… more
- Mount Sinai Health System (New York, NY)
- …Analyst initiates systems to capture all inpatient and outpatient charges. Monitors managed care , commercial and federal contracts to assure the recovery ... services. Assures that updated fee schedules for Medicare, Medicaid, commercial and managed care carriers are correctly entered in the billing system. + Analyzes… more
- Outreach Development Corporation (Brentwood, NY)
- …relationships with referents and other collateral contacts (ie, Probation, Parole, CPS, managed care , EAP's, courts, etc.) through timely written, phone, ... services. . Conduct toxicology testing as needed. . Oversee and/or coordinates care with managed care organizations of identified clients who need either… more
- Mount Sinai Health System (Greenlawn, NY)
- …regarding policies and procedures, billing related training, contractual relationships with managed care organizations, capital procurement and space allocation. ... are resolved. + Coordinates planning and implementation of contractual relationships with managed care organization. + Reviews and evaluates manual and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Services has overall accountability for BH services for all Medicaid Managed Care enrollees under age 21 years. Essential Responsibilities/Accountabilities: ... required. + Minimum of five (5) years of experience working with children in BH managed care settings or BH clinical settings (at least two (2) years must be in… more