- Molina Healthcare (NY)
- …to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification,… more
- Humana (Albany, NY)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- WMCHealth (Valhalla, NY)
- …for providing systems applications and maintenance support to end users in Managed Care and Patient Accounts department for Siemens Contract Management ... required. Performs other related work as required. Responsibilities: + Works with managed care Sr. Director to develop form. + Responsible for maintaining … more
- Molina Healthcare (NY)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (NY)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Lakeview Health Services (Geneva, NY)
- …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional ... needed + Collaborate with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of care + Address the… more
- Lakeview Health Services (Geneva, NY)
- …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional ... needed + Collaborate with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of care + Address the… more
- Molina Healthcare (Albany, NY)
- …Health or related field. **Preferred Experience** + 5 years clinical practice with managed care , hospital nursing or utilization management experience. + 3+ ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...years supervisory experience in a managed healthcare environment. + Previous experience… more
- Whitney Young Health Center (Albany, NY)
- …Case Manager (CM) certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary ... Manager (CM) certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants will receive… more
- Molina Healthcare (NY)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year experience… more