- Trinity Health (Troy, NY)
- …skills are required as well as knowledge of working with community agencies and managed care representatives is desired. + Experience working with a diverse ... and an affiliate of St. Peter's Health Partners, we care for more people in more places. **Position Highlights:**...planning, and implementation of the approved plan of patient care which is provided through individual and group sessions.… more
- Valor Health (Ithaca, 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)
- …+ 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
- Albany Medical Center (Albany, NY)
- …relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and reimbursement ... and incorporates innovative payment models and initiatives aligned to enhance patient care and support operations. + Ensures adherence to all federal, state, and… more
- WMCHealth (Valhalla, NY)
- …+ Collaborates with Nursing and other clinical services to achieve effective managed care processes while maintaining quality standards. + Provides oversight ... responsible for the overall delivery of high quality medical care consistent with the mission and vision of Westchester...and strategic measures to ensure the highest quality of care , patient safety, and maintain evidence based medical standards.… more
- Mount Sinai Health System (Brooklyn, NY)
- …information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary ... provides clinical office support to Physicians & Surgeons and performs patient care and administrative duties necessary to deliver quality patient care .… more
- Rochester Regional Health (Rochester, NY)
- …+ 2 years of pharmacy technician experience in a retail/community pharmacy or managed care setting EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S ... for the purpose of simultaneously improving the quality and efficiency of health care . This position will not be employed by Rochester Regional Health (RRH).… 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
- Mohawk Valley Health System (Utica, NY)
- …, end-of-life- care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care , pay-for-performance ... CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the...and Attending Physicians to align on the level of care , patient billing status, and potential barriers to patient… more