- FlexStaff (Flushing, NY)
- …diagnostic & treatment clinic preferred. - Customer Service experience is required. - Managed long-term care insurance experience beneficial. - Minimum of one ... of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the...the Virtual IDT as needed. - Serve as a manager on call during non-operational hours of the physical… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Outpatient Care Manager (Social Worker) is responsible and accountable for coordinating the ... care of CDPHP members who meet criteria for case management across the continuum of care ;... care setting is required. + HMO or managed care experience preferred + Demonstrated problem… more
- Elevance Health (Latham, NY)
- …licensed staff supervision. **EDUCATION/EXPERIENCE REQUIREMENTS** : + Prior experience in Managed Care setting required. **Additional requirements for BH UM:** ... continuum of Behavioral Health treatment strongly preferred. + Certification as a Case Manager is preferred. **Additional requirements for BH EAP/Resource… more
- CenterWell (Liverpool, NY)
- …**Position Type** : Hybrid **Branch Location** : Liverpool, NY The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares, and re-certifications, for appropriateness of care , delivery,… more
- Catholic Health (Buffalo, NY)
- …Utilizing foundational case management and discharge planning principles, the RN Care Manager , Transition of Care engages the patient/patient ... care RN experience required + Preferred prior insurance / managed care /utilization review experience in the role...care /utilization review experience in the role of a Case Manager or Disease Manager ,… more
- GE HealthCare (NY)
- …or related setting. Previous healthcare ultrasound sales experience and selling to managed care / hospital organizations preferred. + Ability to energize, ... **Job Description Summary** As the Territory Manager for Urology & General Surgery (UroGS), you...+ Previous healthcare ultrasound sales experience and selling to managed care /hospital organizations preferred. We expect all… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 7. Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... Description** Under direct supervision of the Senior Specialty Clinical Pharmacist Manager , the Specialty Pharmacy Financial Access Manager supervises Financial… more
- Molina Healthcare (Yonkers, NY)
- …for both internal staff and vendor oversight. + Experience working within a Managed Care Organization (MCO) or health plan environment. + Proven ability ... **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of...role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general… more
- Albany Medical Center (Albany, NY)
- …consultation as needed. + Counsel and refer families regarding SSD, Medicare, Medicaid, Managed Long Term Care Programs, TBI programs, etc. + Liaison with ... $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany...a significant regional impact on delivering high quality specialized care for patients with Alzheimer's disease and other related… more
- MTA (Mineola, NY)
- …knowledge of Diagnostic & Statistical Manual DSM-IV and DSM-5. + Proficiency with managed mental health care systems and criteria. + Expertise in Psychological ... Senior Manager , Employee Assistance Program (EAP) Job ID: 12211...Island Rail Road . Counseling includes intake assessment, referrals, case monitoring and short-term treatment. Perform Substance Abuse Professional… more
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