- 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
- Catholic Health Services (Melville, NY)
- …with the Catholic Health Physician Advisor when appropriate. Reviews results from managed care payors and/or regulatory agencies determinations for further ... clinical information Acts as a resource for MCC/CM regarding regulatory or managed care requirements or regulations Meets department standards Attends meetings… more
- Elevance Health (Latham, NY)
- …and ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing psychiatric and ... experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; 2. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... **Job Description** RN/Case Manager Mount Sinai West FT Days 8a-4p EOW...fashion. 3. Provides clinical information requested by the managed care companies in accordance with contractual… more
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; b. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case...fashion. c. Provides clinical information requested by the managed care companies in accordance with contractual… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... for this position.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Centene Corporation (Bronx, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... Part Time Field position in the Bronx with Fidelis Care conducting UAS Assessments with members in their home...reside in or near the Bronx.** **Position Purpose:** **Performs care management duties to assess and coordinate all aspects… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. CITY ... 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
- MVP Health Care (Tarrytown, NY)
- …for our customers in every interaction. Preferred skills: + Experience in a Managed care retail setting + NYSOH Marketplace facilitated enroller certification ... At MVP Health Care , we're on a mission to create a...continuous improvement. To achieve this, we're looking for a ** Manager , Healthcare Sales** to join #TeamMVP. This is the… more
- Amgen (New York, NY)
- …experience in the public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales OR Master's degree AND 6 ... lives of patients while transforming your career. **Field Reimbursement Manager - New York** **What you will do** Let's...or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales OR… more