- Catholic Health Services (West Islip, NY)
- …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to ... leadership role is required. + Experience in utilization management, working with managed care organizations, and discharge planning is required. + Current… more
- Educational Alliance, Inc. (New York, NY)
- …and adherence to program standards. + Monitor compliance with Medicaid waiver requirements, managed care contracts, and Social Care Network (SCN) standards. ... readiness for external audits or site visits by regulatory agencies or managed care organizations. + Maintain up-to-date knowledge of Medicaid regulations,… more
- Catholic Health Services (Rockville Centre, NY)
- …to increase preferred provider status with + ACOs, health systems, and managed care organizations. Negotiate and manage payer contracts (Medicare, Medicaid, ... Overview The VP of Post-Acute Care - Skilled Nursing Facilities is a senior executive... managed care , bundled + payments). + Use... managed care , bundled + payments). + Use operational and clinical… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …+ Strong multi-tasking abilities Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred: Computer proficiency ... a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests… more
- Molina Healthcare (Buffalo, NY)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... unit (ICU) or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of… more
- Molina Healthcare (Albany, NY)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... experience in a medical unit or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of… more
- CenterWell (Albany, NY)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...Care Coordinator** helps to ensure optimal continuity of care for patients transitioning into and out of our… more
- Molina Healthcare (NY)
- …social determinants of health, and health equity principles. Case management and managed care experience is highly preferred. Remote position based in ... JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/ care coordination activities and collaborates with multidisciplinary… more
- Molina Healthcare (Albany, NY)
- …seeking candidates with a New York LMFT, LCSW or LMHC licensure and previous Case/ Care Management / managed care experience. Candidates with experience in ... JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care...The Care Manager (BH) provides support for care management/ care coordination activities and collaborates with… more
- Molina Healthcare (Yonkers, NY)
- …of health, and health equity principles is also beneficial. Case management and managed care experience is preferred. Remote position based in New York ... JOB DESCRIPTION **Job Summary** The Care Manager RN provides support for care management/ care coordination activities and collaborates with multidisciplinary… more