- Valor Health (Lockport, NY)
- …with front desk for check-in, check-out and phone coverage. o Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. As a Licensed… more
- Trinity Health (Syracuse, NY)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... excellence in clinical pharmacy practice, regulatory compliance, and patient-centered care .** **POSITION PURPOSE** The Pharmacy Director - Regional /Chief Pharmacy… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Must demonstrate proficiency with the Microsoft Office Suite. + Experience in interpreting managed care benefit plans and strong knowledge of government program ... program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and… more
- Molina Healthcare (Syracuse, NY)
- …At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, ... services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term… more
- Northwell Health (Staten Island, NY)
- …issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to date and accurately reflect patient's ... the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses,… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... is preferred in analytics development expertise, preferably in health care , or for a health provider, health plan or...or for a health provider, health plan or accountable care organization, including either: + Working knowledge of a… more
- Elevance Health (Latham, NY)
- …experience. + Certification as a Case Manager. + Minimum 2 years' experience in acute care setting. + Managed Care experience. + Ability to talk and ... meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic… more
- Bassett Healthcare (Cooperstown, NY)
- …responsibility through payment collection, cash handling, processing of insurance eligibility and managed care information. May also have direct patient care ... Healthcare Network. This is a key role in the patient centered care team. Demonstrates excellence in all patient and customer encounters including face-to-face… more
- Rochester Regional Health (Rochester, NY)
- …Maintains current information on community resources, third party payors, and managed care environment. Knowledgeable of changing rules/regulations, and ... Center to affect optimal patient outcomes, achieve continuity and quality of care , reduces cost and provide customer satisfaction. Provides assistance to patients… more
- Whitney Young Health Center (Albany, NY)
- …adjust to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. All qualified applicants will receive ... assists the Medical Providers to provide maximum quality patient care and education. The Licensed Practical Nurse (LPN) is...LPN: + Demonstrates knowledge, skills and abilities to provide care to the age groups served (birth and above).… more