- Highmark Health (Albany, NY)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Elevance Health (Latham, NY)
- The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical ... information and assessing medical necessity under relevant guidelines and/or medical policies. **Location:** **Virtual -** This role enables associates to work… more
- Apicha Community Health Center (New York, NY)
- …vulnerable populations. Position Summary: We're looking for an organized professional full-time Medical Case Management Manager for our Manhattan location. The ... to: People Management : + Provide day-to-day operation oversight of the medical case management staff. + Provide clinical supervision to medical case … more
- Humana (Albany, NY)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health ... providers, clinical group practice management . + Utilization management experience in a medical management.... + Utilization management experience in a medical management review organization, such as Medicare… more
- SUNY Upstate Medical University (Syracuse, NY)
- … experience. Clinical expertise including radical and robotic surgery, chemotherapy and medical management of gynecologic cancers. Experience in directing funded ... Responsibilities: Maintain an active clinical practice in Gynecologic Oncology including medical and surgical management and chemotherapy. Assume leadership role… more
- SUNY Upstate Medical University (Syracuse, NY)
- …candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office: MedBest Medical Management ... your time, you will learn new things and the work day fly's by! The Medical office Assistant functions as a clinical liaison between the patient and the provider.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office: MedBest Medical Management ... timely manner; Clerical duties may include scheduling appointments, maintaining medical records and completing insurance forms; obtaining authorizations, scheduling… more
- SUNY Upstate Medical University (Syracuse, NY)
- …candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office: MedBest Medical Management ... Job Summary: The Medical office Assistant functions as a clinical liaison...weight, and blood pressure, review medication lists, family and medical / surgical history, and obtain medication authorization + Works… more
- SUNY Upstate Medical University (Syracuse, NY)
- …candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office: MedBest Medical Management ... therapeutic conversation to patients in distress. Will inventory and order medical supplies. Clerical duties include scheduling appointments, maintaining medical … more
- SUNY Upstate Medical University (Syracuse, NY)
- …candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office: MedBest Medical Management ... and procedures. Position reports to the Upstate University Medicine Medical Office Supervisor. Duties and Responsibilities: Obtain insurance eligibility… more