- Rochester Regional Health (Rochester, NY)
- …treatment plans in conjunction with attending physician to provide optimal patient medical management ; order consultations and interact with members of other ... histories on patients referred for consultation by academic and community physicians. + Management & Development. Reach tentative diagnosis of medical and other… more
- Sedgwick (Albany, NY)
- …and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application ... Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE… more
- The Cigna Group (New York, NY)
- …limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service . + Supports ... + Manages submission process of contracting and negotiations for fee for service with physicians, ancillaries and hospitals. + Supports the development and … more
- St. Mary's Healthcare (Amsterdam, NY)
- …in accordance with established policies and procedures. Respond to patient request for medical records. Management of incoming and outgoing faxes. + Scheduling: ... services . Additional Responsibilities: Provides positive patient communication and service recovery. + Ability to participate in peer interviewing process. +… more
- Elevance Health (New York, NY)
- … Director** is responsible for the administration of physical and/or behavioral health medical services , to ensure the appropriate and most cost-effective ... an entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including… more
- Nuvance Health (Rhinebeck, NY)
- …13. Interacts with patients and colleagues in accordance with Western Connecticut Medical Group service excellence standards. 14. Fulfills all compliance ... Experience: one year Desired: CPR certification preferred. Bi-lingual preferred. Practice Management System experience, Medical office experience, MS Excel.… more
- MVP Health Care (Rochester, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Medical Management /Clinical** **Pay Type** **Salary** **Hiring Min Rate** **56,200 ... the Medicaid population. At least two years of case management experience required in long term services ...member education and counseling, making necessary referrals to social service programs, and coordinating necessary services for… more
- UPMC (Jamestown, NY)
- …required anti-arrhythmic medications, electrolyte replacement, hemodynamic medication administration, and acute medical management . The unit also services ... UPMC Chautauqua Units: + **4D: This is a 30-bed Medical /Surgical unit.** The unit can manage some stable pediatric...offer care to all ages and presentations, have BH services , services for sexual assault victims and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …plan/health insurance market or a related field (eg, plan management , provider networks, medical management , wellness, PBM, TPA services ). + 4+ years of ... wellness company. The Senior Proposal Writer candidate should have exceptional project management skills, a keen attention for detail, a commitment to producing high… more
- Community Health Action of Staten Island (Jamaica, NY)
- …with HIV/AIDS (PLWH/A) in Queens and Staten Island. The Ryan White Support Services program addresses unmet social service needs that have significantly hindered ... access to and engagement in HIV and other essential medical care. This program will expand services ...Management Assessments and program eligibility. + Coordinate with Service Providers and provides critical feedback to members of… more