- Resource Recovery Center of Orange County LLC (Middletown, NY)
- …Maintain accurate and organized clinical charts to ensure compliance with OASAS and Managed Care standards. Contact family contacts and referents upon admission ... County is dedicated to providing the highest quality of care to those suffering from Alcohol and Substance Use...regulatory standards. Assist with ensuring that standard of patient care is maintained; these standards are based in "best… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around psychiatric and other health services at ... of succeeding in permanent housing and independent living, improving access to care and health outcomes for low-income and vulnerable populations. The Office brings… more
- WMCHealth (Warwick, NY)
- …+ Maintain access to Medicare common working files and calculate Medicare days. Access managed care plan data authorization systems to monitor approved stays. + ... determine clinic referral needs. + Completes physical admission assessments and care planning upon request. + Completes medication administration pass upon request.… more
- WMCHealth (Kingston, NY)
- …Guardianship proceedings and laws. + Complete pre-certification of inpatient admissions with managed care companies as required. + Exhibit cultural competence by ... as an essential member of the interdisciplinary team to maintain high-quality patient care . The MHE reports to the Regional Program Manager for the Crisis … more
- Evolent (Albany, NY)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Guthrie (Binghamton, NY)
- …following areas, in collaboration with other subject matter leaders: Reimbursement, Managed Care Contract Negotiation, Hospital Financial Accounting, Hospital ... understanding of financial and operational leadership issues in acute care hospitals. Senior management level experience with budgetary/forecasting preparation...a part of a tradition of excellence in health care . In all areas and at all levels of… more
- Caz Recovery (Buffalo, NY)
- …other clinical and medical staff members in advocating for residents during Medicaid managed care and insurance company reviews. + Accurately completes medical ... This position provides quality nursing oversight, linkage of residents to primary care providers and/or mental health services, and monitors medication compliance of… more
- CDPHP (Latham, NY)
- …Adjustment Coder) credential preferred. + Minimum one (1) year of experience in an HMO, Managed Care Organization or in a health care setting preferred. + ... a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous...that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee… more
- Humana (Albany, NY)
- …Professional Business Intelligence Engineer** is an experienced individual with broad Medicaid Managed Care expertise, deep analytics expertise, and a proven ... is to advance personalized solutions that foster whole person care to engage and empower our members in their...reporting and data analysis + 3+ years of health care experience for Medicare and/or Medicaid populations + Proven… more
- Weill Cornell Medical College (New York, NY)
- …+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working ... Summary** Under supervision, is responsible for assisting physicians with patient care , administrative, and organizational tasks as they relate to patient flow… more