- 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....productivity is important. Preferred candidates will have previous case management , managed care, hospital, and/or home health experience._ _This… more
- New York State Civil Service (Queens Village, NY)
- …emergencies, carry out discharge planning and post discharge referral, carry out quality improvement activities, may supervise a Nurse Practitioner Psychiatry, ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare … more
- Centene Corporation (New York, NY)
- … Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- St. John's Embrace Living (Rochester, NY)
- …Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident billing and revenue collection function ... includes completion of required continuing education credits. + Knowledge of LTC/Skilled Nursing third party billing preferred + Ability to interact with elders and… more
- Catholic Health Services (West Islip, NY)
- … Management : Works collaboratively with, but not limited to, Medical Staff, Quality /Risk Management , CH Utilization and Central Appeals, Managed Care and ... Overview The Director of Care Management is responsible for providing overall management...knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. Knowledge of Joint… more
- Mount Sinai Health System (New York, NY)
- …Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and ... or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics… more
- Northwell Health (Staten Island, NY)
- …accurately reflect patient's clinical progress and acute needs. + * Participates in the quality management of patient care outcomes. + Submits data to ... case management and clinical pathways, variance analysis and trending, quality management /utilization review and home care/discharge planning, preferred. +… more
- CenterWell (Hauppauge, NY)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home health ... personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. + Develops, plans, implements,… more
- Aveanna Healthcare (Buffalo, NY)
- …a FriendBack Job Details Requisition #: 205400 Location: Buffalo, NY 14221 Category: Nursing Salary: $75,000.00 - $80,000.00 per year Position Details Join a Company ... is one of the largest providers of private duty nursing in the nation - and we're growing! We...(RN) leads a team of caregivers to ensure safe, high- quality , and compassionate care in the home setting. Responsibilities… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with Upstate's Nappi Wellness Institute. The APP will provide adult diabetes management in the outpatient setting. Responsibilities include: + Providing expert level ... via a full range of services that will improve quality of patient care assessing & evaluating patients. +...health care team. Minimum Qualifications: Master's Degree as a Nurse Practitioner or Physician Assistant. NYS Licensed/Registered NP or… more