- Molina Healthcare (Syracuse, NY)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... staff on process improvement and problem-solving methodologies + Conducts educational sessions with staff and leaders and coaches them on process improvement projects. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree required in a related field… more
- Humana (Albany, NY)
- …develop engagement best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various ... our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in the center of strategy, design, technology, clinical,… more
- New York State Civil Service (Queens Village, NY)
- NY HELP Yes Agency Mental Health, Office of Title Residential Program Manager 3 (NY HELPS), Creedmoor Psychiatric Center, P26581 Occupational Category Health Care, ... Duties Description Creedmoor Psychiatric Center is currently recruiting a Residential Program Manager 3 to oversee and manage residential program operations of their… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate ... achievement of quality and cost, patient outcomes. The Case Manager works collaboratively with interdisciplinary staff internal and external to the organization. The… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... maintain regulatory compliance in healthcare and related human services. The Senior Manager , Compliance reports to the Director of Legal Affairs and Compliance and… more
- Ellis Medicine (Schenectady, NY)
- The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works with the physicians and ... efficient quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay are medically necessary and ensures the… more
- J&J Family of Companies (New York, NY)
- …New York, New York, United States **Job Description:** **Field Reimbursement Manager (Immunology Dermatology)- (** **Manhattan South, NY** **) - Johnson & ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the New York,… more
- Humana (Albany, NY)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/Case Manager ** is a valuable member of our team, who provides clinical ... standard of excellence. **Duties of a TH Staff Associate/Case Manager in the Care Management Department may include the...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more