- WMCHealth (Valhalla, NY)
- …with the case manager and care coordinator, implement the discharge review program mandated by New York State Department of Health to facilitate issuance of ... preferred + Knowledge of regulatory agency standards; Centers for Medicare & Medicaid Services, and Det Norske Veritas (DNV) standards, preferred About Us: WMC… more
- Rochester Regional Health (Rochester, NY)
- …potential inpatient medical necessity denials. Review patient class in the event manager , assist with LOC determination retrospectively, and changes patient class as ... + BS degree + Knowledge of Federal and State regulations (DOH, Medicaid /Medicare) + Knowledge of third party payer and/or managed care payment principles… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …(Hourly) LOCATION: 696 Dutchess Turnpike, Poughkeepsie, NY 12603 REPORTS TO: Manager , Care Coordination SHIFT/CORE HOURS: Monday-Friday 8:30 AM-5:00 PM POSITION ... functions to complete the process. EDUCATION & EXPERIENCE + Minimum education: accredited nursing program (LPN or RN) with an active NYS license. + At least 1 year… more
- Tarrytown Rehabilitation & Nursing Center (Little Falls, NY)
- …Provides Occupational Therapy plan of treatments and modalities + Modifies treatment program level, intensity and techniques based on the resident's response to ... in internal audits as directed + Possess a strong knowledge of Medicare, Medicaid and other payment sources and their responsibility in the SNF setting +… more
- Trinity Health (Albany, NY)
- …visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management ... Supports the education components of the facility's risk management program . Promotes the organizational patient safety initiatives. **LOSS PREVENTION/PATIENT… more
- Molina Healthcare (Rochester, NY)
- …standards and requirements established by the Centers for Medicare and Medicaid . **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the ... performance indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate's… more
- Albany Medical Center (Albany, NY)
- …stays on top of national and local payer trends. + Planning and Program Development and Oversight + Identifies, facilitates, and builds systems and standardized ... value-based enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading, and overseeing… more
- Centers Plan for Healthy Living (New York, NY)
- …selling/marketing and performing all required tasks assigned by the Sales Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... by explaining program benefits in a manner that is compliant with...manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The… more
- Trinity Health (Syracuse, NY)
- …support services. Examples include health coverage via the insurance marketplace, Medicaid , Medicare, social security benefits, food, and housing services. Serves as ... allocation accurately (if applicable). Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State, and local laws… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Manager , Social Work ServicesDepartment: Social Work Location: Rochester General Hospital Hours Per Week: 40Schedule: Monday-Friday, 8am-4:30pm SUMMARY: ... manage Social Work Services and supervise the Social Work staff, including Medicaid Specialists, office support, and interpreters. Responsible for the quality of the… more