- 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 ... on workplace flexibility. **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Molina Healthcare (NY)
- …social determinants of health, and health equity principles. Case management and managed care experience is highly preferred. Remote position based in ... JOB DESCRIPTION **Job Summary** The Care Manager provides support for care ...(LCSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical… more
- Molina Healthcare (Albany, NY)
- …seeking candidates with a New York LMFT, LCSW or LMHC licensure and previous Case/ Care Management / managed care experience. Candidates with experience in ... JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/ care coordination activities and collaborates with… more
- Mount Sinai Health System (Long Island City, NY)
- …+ **Experience:** 3 - 5 years acute care experience. Experience in Care Management duties and managed care reviews. + **License/Certification:** ... + Develops a tracking system for patient care coordination and care management across the continuum between PCP, specialist and/or other providers,… more
- Mount Sinai Health System (New York, NY)
- …departments as needed + Ensures that patients have appropriate authorizations from various managed care insurers + Works as a liaison between MSHS and ... prior psychiatric providers + Obtains medical records from primary care and other specialist providers if appropriate + Completes all prior authorizations for… more
- Access: Supports For Living (Mount Vernon, NY)
- …Collaboration with Healthcare Providers and Community Stakeholders: - Partner with managed care organizations (MCOs), healthcare providers, and community-based ... OVERVIEW OF PRIMARY RESPONSIBILITES: The Community Health Worker (CHW) - Social Care Network Specialist plays a key role in advancing the New York State 1115… more
- New York State Civil Service (Schenectady, NY)
- …equivalent training and experience such as that required for a Trades Specialist (Carpenter), Trades Specialist (Electrician), Service & Repair Mechanic ... (Electronics), Trades Generalist, Grounds Construction Supervisor, Trades Specialist (Locksmith), Trades Specialist (Machinist), Trades Specialist (Mason &… more
- Healthfirst (NY)
- …**Work experience within the healthcare industry** + **Experience with Medicare or Medicaid managed care plan products such as, Family Health Plus (FHP), Eastern ... responsibilities within a healthcare environment.** + **Healthfirst product knowledge of Complete Care , Senior Health Partners (SHP) or managed long-term care… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals… more
- Mount Sinai Health System (New York, NY)
- …and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid, etc.), managed care contracts and coordination of benefits is required. ... including government payers, applicable federal and state regulations, healthcare financing and managed care . + Expected to stay updated on current medical… more