- New York State Civil Service (Buffalo, NY)
- …that leads to improved delivery of mental health services in a fully managed care system.Collaborate with other state agencies around hospital treatment and ... new unit of multi-disciplinary teams of professionals focused on improving care and care transitions for individuals with complex needs throughout the continuum… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of ... case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party...and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans,… more
- Whitney Young Health Center (Albany, NY)
- …certification; one to three years relevant clinical nursing experience; Knowledge of managed care requirements; Demonstrated excellence in written and verbal ... utilizes the nursing process to provide comprehensive professional nursing care , considering the individual patient's physical, psychosocial and age-related needs.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and working knowledge of Utilization Management Standards. + Experience in interpreting managed care benefit plans and strong knowledge of government program ... of clinical knowledge, members' specific health plan benefits, and efficient care delivery processes. Ensures compliance with corporate and departmental policy and… more
- Valor Health (Oswego, NY)
- … care . + Acts as point person within PACT Team. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient and ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. As a Registered… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary ... office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient... and administrative duties necessary to deliver quality patient care . Performs various duties as a member of the… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal and electronic sources. 23. Obtains and documents managed care referrals, required pre-certifications and authorizations as ... office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient... and administrative duties necessary to deliver quality patient care . Performs various duties as a member of the… more
- Molina Healthcare (Syracuse, NY)
- …Degree in Nursing preferred. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing, utilization and/or care management ... team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… 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 ... years minimum 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
- 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 ... higher 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