- CenterWell (Albany, NY)
- …minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management ... patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Mount Sinai Health System (New York, NY)
- …emergency preparedness, universal precautions, JCAHO and practice certification standards, and managed care provider standards. + Other duties and ... practice sites. Actively engages network and faculty practice physicians, their office manager , administrative staff, and health care professionals by: (1)… more
- Bassett Healthcare (Cooperstown, NY)
- …responsibility through payment collection, cash handling, processing of insurance eligibility and managed care information. May also have direct patient care ... This is a key role in the patient centered care team. Demonstrates excellence in all patient and customer...including completing Open Referrals and/or referral tracking queue. Alerts Manager or Supervisor of referrals that are unable to… more
- Mount Sinai Health System (New York, NY)
- …day-to-day operations, in collaboration with the School Based Health Center Administrative Practice Manager , in the care and treatment of patients as delineated ... Center ("MSAHC" or the "Center") works to provide health care and wellness for young people by providing vital...charged with ensuring that the above functions are developed, managed and delivered within a culture that is youth-centric,… 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
- Mount Sinai Health System (New York, NY)
- … care delivery system. Ensures that personnel/labor issues are managed in compliance with contractual agreements and support positive employee-management ... through the organization and oversight of all policies and procedures and standards of care , insuring all are within the scope of nursing practice and in accordance… more
- Mohawk Valley Health System (Utica, NY)
- …ensuring accurate member care needs are met and documented per the managed long term care program (MLTC) insurance regulations. Core Job Responsibilities + ... RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible for the… more
- S&P Global (New York, NY)
- **About the Role:** **Grade Level (for internal use):** 13 **About the Role:** Product Manager , Private Markets Product Team **The Team:** S&P Dow Jones Indices is a ... of a transformative initiative. **Responsibilities and Impact:** The Product Manager will play a key role in developing our...the world. With over USD 7.4 trillion in passively managed assets linked to our indices and over USD… more
- WellLife Network (Coram, NY)
- …of enrollments, closures, updating of care plans, and changes in managed care status/plan and Medicaid recertification. Ensure all changes are reported ... Year Degree Salary Range $70000.00 - $70000.00 Salary Job Description Position Summary: Manager of care coordinators. The Program Coordinator will ensure that… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more