- CenterWell (Albany, NY)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Highmark Health (Albany, NY)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more
- KPH Healthcare Services, Inc. (Watertown, NY)
- …delivers care to patients/customers as delegated by the Respiratory Care Manager . **Responsibilities** **Job Duties:** + Provides professional respiratory care in ... education/training or assistance with areas of + Stays current on LCDs, Medicare billing and dispensing guidelines + Responsible for completing all mandatory and… more
- KPH Healthcare Services, Inc. (Watertown, NY)
- …RN delivers care to patients/customers as delegated by the Respiratory Care Manager . **Responsibilities** **Job Duties:** + Provides professional nursing care in the ... education/training or assistance with areas of + Stays current on LCDs, Medicare billing and dispensing guidelines + Responsible for completing all mandatory and… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care… more
- Charles B. Wang Community Health Center (Queens, NY)
- Full-Time Outreach Worker/Enroller Reports To: Program Manager Queens/Manhattan, New York United States Responsibilities : + Work closely with Community Outreach ... & Disabled population individuals into the relevant Medicaid program with Medicare eligibility assessments + Assure that application is accurately completed and… more
- Dialysis Clinic, Inc. (Staten Island, NY)
- …and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. **Schedule** : Full-time, five 8-hour shifts ... no-show information, and information on absences. Provides reports to the nurse manager or area operations director. + May perform duties of receptionist including… more
- WMCHealth (Valhalla, NY)
- …required documentation of work activities. + In collaboration with the case manager and care coordinator, implement the discharge review program mandated by New ... terminology, preferred + Knowledge of regulatory agency standards; Centers for Medicare & Medicaid Services, and Det Norske Veritas (DNV) standards, preferred… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …(Hourly) LOCATION: 696 Dutchess Turnpike, Poughkeepsie, NY 12603 REPORTS TO: Manager , Care Coordination SHIFT/CORE HOURS: Monday-Friday 8:30 AM-5:00 PM POSITION ... to detail, and exercise professional work ethics. + Familiarity with applicable Medicare and Medicaid programs preferred. + Understanding of HIPAA, Privacy, Safety,… more
- Trinity Health (Albany, NY)
- …visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management ... but not limited to: NYPORTS, NIMRS, Justice Center, STARS/ClearSight, Centers for Medicare and Medicaid Services (CMS) death reporting in restraints; ensuring that… more