- CenterWell (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
- Humana (Albany, NY)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric- Inpatient (NY HELPS), Hutchings Psychiatric Center, P27351 ... (OMH) Joint Commission accredited hospital, is recruiting an Assistant Director of Nursing 1, Psychiatric (ADON) to serve as...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- Elderwood (Williamsville, NY)
- Salary Pay: up to $105,000 / year Overview Assistant Director of Nursing (RN) Lead with purpose. Support with compassion. Grow with Elderwood. Elderwood at ... a clinical leader for the important role of Assistant Director of Nursing (ADON - RN). This is an...all admissions and readmissions for eligibility or denial of Medicare Skilled services regulations. + Notify all providers, in… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- New York State Civil Service (Dix Hills, NY)
- NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric - Inpatient (NY HELPS), Sagamore Children's Psychiatric Center, P27395 ... NY Zip Code 11746 Duties Description As an Assistant Director Nursing 1 Psychiatric, you will assist in the...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric (NY HELPS), New York State Psychiatic Institute (NYSPI), P27287 ... NY Zip Code 10032 Duties Description As an Assistant Director Nursing 1 Psychiatric, you will assist in the...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- Elderwood (Ticonderoga, NY)
- …is seeking high quality, compassionate Registered Nurse (RN) to be the Assistant Director of Nursing/Educator, making the difference in the lives of our residents ... is located in Ticonderoga, NY. in the heart of the Adirondacks. Assistant Director of Nursing (RN) Position Overview: The ADON/Educator leads, supports, and ensures… more
- Ankura (New York, NY)
- …accreditations, operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director ... to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes &… more
- CVS Health (Albany, NY)
- …health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the Medical Management staff ... to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in… more