• Director of Care Coordination (RN)

    Catholic Health Services (West Islip, NY)
    …Coordination department, Medical Staff, and SCSH Administrative Staff. Ensures compliance with Hospital Conditions of Participation. Implements care management ... is required. Current knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. Knowledge of Joint Commission Standards, and… more
    Catholic Health Services (07/18/25)
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  • Health Information Specialist (HIM Specialist)

    Saratoga Hospital (Saratoga Springs, NY)
    …System's (AMHS) inpatient and outpatient facilities. The HIM Specialist ensures compliance with legal, regulatory, and organizational standards while maintaining the ... a basic understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) quality measures is preferred. + Strong… more
    Saratoga Hospital (07/17/25)
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  • Advanced Practice Provider-PD - General Surgery

    Catholic Health Services (Roslyn, NY)
    …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details Job ... surgical notes, progress reports, and treatment plans. - Ensure compliance with regulatory and organizational documentation standards. Emergency Response: -… more
    Catholic Health Services (07/15/25)
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  • Social Worker - Field - New York + $5,000 New Hire…

    CVS Health (Albany, NY)
    …impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... locations. + Care management activities will focus on quality of care, compliance , outcomes and decreasing costs. + Responsible for developing and carrying out… more
    CVS Health (07/12/25)
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  • Director Medical Coding and Chart Audit Services…

    Catholic Health (Cheektowaga, NY)
    …and understanding of regulatory guidelines to continuously improve processes and compliance along with managing professional outpatient coding and chart auditing ... experience highly recommended KNOWLEDGE, SKILL AND ABILITY: + Extensive knowledge of Medicare and Commercial Payers coding and billing policies + Knowledge of… more
    Catholic Health (07/12/25)
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  • Home Health Aide FT

    CenterWell (Hauppauge, NY)
    …the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
    CenterWell (07/11/25)
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  • Home Health Aide Per Diem

    CenterWell (Hauppauge, NY)
    …the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
    CenterWell (07/11/25)
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  • Licensed Master Social Worker - Outpatient

    Bassett Healthcare (Oneonta, NY)
    …(when appropriate). Adherence to established Conditions of Coverage for the Center for Medicare & Medicaid services (CMS) for End Stage Renal Disease (ESRD) dialysis ... adjustment to illness, alcohol/chemical dependence, grief/loss/bereavement, financial/insurance issues, and compliance to treatment Provides evidence based therapeutic interventions Performs… more
    Bassett Healthcare (07/09/25)
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  • Managed Care Provider Enrollment Specialist

    Stony Brook University (Commack, NY)
    …ninety (60) days of roster submission. Inform Director of Enrollment of MCOs non- compliance . A provider enrollment roster should be sent, at a minimum, once per ... care organization or payer. + Direct experience with NYS Medicaid and Medicare enrollment and recertification. + Experience setting up and managing the Council… more
    Stony Brook University (07/09/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …Authorization Specialist! This position can further develop your skills in compliance , medical billing, customer service, and Health Information Management (HIM)! If ... preferred * Knowledge of CPT and ICD coding desired * Knowledge of Medicare and third-party payer regulations desired * Excellent computer, phone and customer… more
    Glens Falls Hospital (07/02/25)
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