- Calvary Hospital (Bronx, NY)
- …interface with the Finance Office regarding pertinent insurance information, eg Medicare , Medicaid, Blue Cross, and Commercial Insurance. Performs other related ... QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years of management… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting ... our Medicare /Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from… more
- Elderwood (Buffalo, NY)
- …the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are responsible for obtaining ... driving record and dependable transportation + Must be in good standing with the Medicare and Medicaid programs. + Must be free of communicable disease. + Bilingual… more
- 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 We ... background Certification: Physician Assistant Certified (PA-C) or Acute Care Nurse Practitioner certification (ACNP) BLS/ACLS/AED training required and accepted… more
- Stony Brook University (Stony Brook, NY)
- …supporting documentation to support RUG levels claimed. + Collaborate with Nurse Managers to ensure appropriate completion of the resident center comprehensive ... for submission to the Department of Veteran's Affairs. + Completes notification to Medicare beneficiaries for changes in level of care (SNF ABN, NOMNC). + Completes… more
- HCR Home Care (Rochester, NY)
- …preferred. Qualifications and Requirements + Current , valid l icensure as Registered Professional Nurse issued by NYS Department of Education . + Two ( 2 ) years ... to problem - solve effectively. + Possess es knowledge of the Medicare /Medicaid guidelines governing home health agencies. + Organized, detail-oriented , and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages the denial process. + Leads interdisciplinary complex ... and adolescent psychiatry without restrictions and free of sanctions from Medicaid or Medicare required. + Minimum of five (5) years of experience working with… more
- Finger Lakes Health (Geneva, NY)
- …- Join a Team That Makes a Difference! Are you a dedicated Registered Nurse with a passion for leadership, compliance, and delivering exceptional care? Do you thrive ... role in ensuring our residents receive top-quality care. You will coordinate Medicare assessments, care planning, and reimbursement efforts in alignment with all… more
- Arnot Health (Bath, NY)
- …the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. Minimum 2… more
- Albany Medical Center (Albany, NY)
- …Movement Disorders. Minimum Qualifications: + Graduate of an accredited Physician Assistant/ Nurse Practitioner Master's degree program + Current NYS licensure, Board ... a National Provider Identifier (NPI) issued by the US Center for Medicaid and Medicare services + Excellent verbal, writing, and interpersonal skills + A strong work… more