- New York State Civil Service (New York, NY)
- …Psychiatric Center is recruiting an Intensive Case Manager to provide case management and care coordination services to individuals with mental illness in the ... if they have:* Bachelor's degree in social work, psychology, nursing , rehabilitation, education, occupational therapy, physical therapy, recreation or recreation… more
- University of Rochester (Rochester, NY)
- …create barriers to access for patients. Remains knowledgeable of private payer, Medicare , and Medicaid structure systems and reimbursement processes. Respond to all ... patient, nursing , and provider account inquiries. **ESSENTIAL FUNCTIONS** + Determines...providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle. + Completes… more
- CenterWell (Westbury, NY)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. +...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Molina Healthcare (Syracuse, NY)
- …in Health Care Quality (CPHQ) or other health care or management certification. * Medicaid/ Medicare population experience. * Clinical experience. * ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services… more
- Mount Sinai Health System (New York, NY)
- …knowledge of professional charging, billing, physician fee schedules, Epic workflows and quality reporting measures. This position will report to the Director of the ... and proficiency in Excel and related tools. + Strong knowledge of quality payment programs. + Demonstrated success in a large not-for-profit/academic health system… 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 ... be able to thrive in a fast-paced and challenging environment, delivering high- quality care to patients. Responsibilities: + Patient Assessment and Diagnosis: +… more
- HCR Home Care (Rochester, NY)
- …home health agencies and provides daily support to field clinicians enabling them to provide quality care in the home to HCR patients. Th is position may be remote, ... with appropriate approvals , and provides service, coordination, management during afterhours and on the weekends, and is...procedures and follow the Employee Handbook Guidelines . + Quality : + Audit clinical records to identify trends/areas of… more
- St. John's Embrace Living (Rochester, NY)
- …OR Bachelor's Degree in Nursing or NYS RN Licensure OR Licensed Practical Nurse (LPN), with a minimum of three years' experience in LTC with experience with the ... communication with families & various community care partners, bed management , and oversight of the admission paperwork. Works in...at least 2 years of experience in a skilled nursing facility with ability to prioritize and manage multiple… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Building located at the Downtown Campus. The full-time APP will provide care management to patients in our walk-in clinic, as well as patients recently discharged ... via a full range of services that will improve quality of patient care. + Assess and evaluate patients,...and procedures. Minimum Qualifications: + Master's Degree as a Nurse Practitioner or Physician Assistant. + NYS Licensed/Registered NP… more
- New York State Civil Service (Bronx, NY)
- …emergencies, carry out discharge planning and post discharge referral, carry out quality improvement activities, supervise a Nurse Practitioner Psychiatry, and ... be eligible for full and unconditional participation in the Medicaid and Medicare programs which must be maintained for continued employment. Failure to do… more