- Molina Healthcare (Albany, NY)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... ability to easily access and interpret these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN) license in good standing. **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience**… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Catholic Health Services (Rockville Centre, NY)
- …by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare . Evaluates current and future clinical and service needs for existing and new ... accounts. As appropriate &/or required, coordinates &/or conducts in-services and continuing education programs for referral sources and their support staff. Collaborates with referral sources (ie hospital case managers, home health agencies, physician… more
- Trinity Health (Schenectady, NY)
- …of trends in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare provider role ... (primary care, home health, adult daycare, transportation, all coordinated by an interdisciplinary team). The primary purpose of this job position is to provide skilled nursing care and prescribed treatments to participants according to professional nursing… more
- New York State Civil Service (West Seneca, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or Federally assisted program), you may be terminated from your employment. * OPWDD is an Equal Opportunity/Affirmative… more
- National Health Care Associates (Melville, NY)
- …governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of the aged and ... the chronically ill with the ability to work with both + Deadline driven, detail-oriented individual with strong organizational skills, analytical capabilities and the ability to make decisions independently + Excellent written and verbal communication and… more
- Bassett Healthcare (Milford, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc.) based ... on the missing items work-queue are made in the appropriate Bassett system within 24 hours of system notifications, in accordance with standard operating procedure. Answers questions from patients regarding the organization and/or services and provides… more
- Molina Healthcare (Yonkers, NY)
- …communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL DEMANDS:** Working ... environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long… more
- WMCHealth (Margaretville, NY)
- …award-winning 82-bed enhanced care facility. We have received a 5-Star rating from Medicare 's "Nursing Home Compare" and 5-star ratings in US News & World Report's ... Best Nursing Homes 2011, 2012, 2013, 2014, 2015 and 2016 issues. Not only is Mountainside Residential Care Center rated as one of the top nursing homes nationwide for providing excellence in care - we are also setting the pace for outstanding care and quality… more