- Evolent (Albany, NY)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... + Responsible to escalate risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department standards as directed by… more
- Caz Recovery (Buffalo, NY)
- …are being met. + In addition to the supervisory relationship with the Program Manager , this position shall collaborate with the Director of Food Services. + Conducts ... service equipment including freezers, refrigerators, and coolers. Promptly informs program manager and supervisor of any concerns that arises + Prepares, serves,… more
- University of Rochester (Rochester, NY)
- …to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and ... assigned tasks, following standard procedures as directed by the Supervisor or Manager . **Machines and Equipment Used** : Standard office equipment, including but… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …state policies, company policies and procedures and job responsibilities of the account manager + Create and implement training materials and tools + Write and ... and company guidelines by directly reporting to the Training Manager + To provide support and training for representatives...paced environment + Managed long term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct… more
- Molina Healthcare (Rochester, NY)
- …cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the staff use ... and/or participates in Interdisciplinary Care Team meetings. + Works with the Manager to ensure adequate staffing and service levels and maintains customer… more
- Molina Healthcare (NY)
- …we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting our Medicare/ Medicaid population ... who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent… more
- Molina Healthcare (Yonkers, NY)
- …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical… more
- HCR Home Care (Rochester, NY)
- …all new interim orders before they are sent to physician. Notify Clinical Manager /Regional Director if unable to approve the order. + Assure orders are written ... and email clinician to review and n otify case manager and physician , as appropriate . + En...- solve effectively. + Possess es knowledge of the Medicare/ Medicaid guidelines governing home health agencies. + Organized, detail-oriented… more
- WMCHealth (Hawthorne, NY)
- …service satisfaction and quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback on root causes of ... denials, and formulate denials resolution strategies + Works with the Follow-up Manager to establish and monitor accounts receivable management and cash collection… more
- City of New York (New York, NY)
- …provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... maintain stable, healthy lives. Under the direction of the HASA Regional Manager , with latitude for independent judgment, initiative and decision-making the Center… more