- Guthrie (Corning, NY)
- …Q/RM, Medical Staff Officers, Chiefs of Service, Committee Chairmen and the Medical Director . Provides each new applicant with a letter identifying information to be ... licensure/registration and standing, Queries the National Practitioner Data Bank and Medicare/ Medicaid site for fraud and abuse and ECFMG verification, Sends… more
- Catholic Charities Family Community Services (Rochester, NY)
- …Assist clients in the acquisition and maintenance of public benefits eg, Medicaid , SNAP, Social Security, etc. + Provide linkage/referrals and coordination of ... on appropriate boards and committees as assigned by CC Director . + Other duties as assigned. + Participates in...experience may be substituted at the discretion of the Director . Credentials: Possesses a valid NY State Driver's License… more
- Cardinal Health (Albany, NY)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …and third party payers + Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems ... related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of all Minimum...needed + Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a… more
- HCR Home Care (Rochester, NY)
- …new interim orders before they are sent to physician. Notify Clinical Manager/Regional Director if unable to approve the order. + Assure orders are written according ... administrative clinical functions (ie, TIFs, phone calls, etc.). + Alert Clinical Manager/Regional Director of changes in patient status or orders that do not seem… more
- New York State Civil Service (Albany, NY)
- …do not meet standard level of care expectations.* Serve as OPWDD's Medical Director of the Naloxone program.* Conduct ongoing review of OPWDD agency-wide policies ... and other workgroups or task forces when relevant. * Serve as Medical Director for the Bureau of Service Allocation Research and Review (BSARR) by collaborating… more
- WellLife Network (Old Field, NY)
- …to thrive and realize their fullest potential. Position Summary:Reports to Program Director . Responsible for general health of all youth and monitoring provision of ... residents weekly. Monthly Health Services (HS) and Medication Management Training (MMT) Medicaid Restorative Notes. 14. Primary contact person for hospital and other… more
- Helio Health Inc. (Rochester, NY)
- …performed under the medical and clinical supervision of the program's Service Director and Executive Medical Director . The Psychiatric Nurse Practitioner (NP) ... licensed and currently registered by the New York State Education Department. + Medicaid certification is required. + At least one year of experience in the… more
- City of New York (New York, NY)
- …ON CIVIL SERVICE EXAM # 9061. The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. ... MAP operation. - Perform other related duties as assigned by the Deputy Director or Director of Business Solution and Support. Hours/Schedule: 9 am - 5 pm (FLEX)… more
- WMCHealth (Valhalla, NY)
- …other related work as required. Responsibilities: + Works with managed care Sr. Director to develop form. + Responsible for maintaining managed care contracts in ... including reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/ Medicaid , Managed Care - Commercial, etc,). Validates payment rate… more