- Stony Brook University (Stony Brook, NY)
- …high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not limited to:** + Completes ... assigned. Identifies, follows and documents Avoidable delays in Care Management Program. Reviews and documents on patients who were...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
- Crouse Hospital (Syracuse, NY)
- …- CCM serves as a proactive patient advocate, educator, and care manager for Medicare beneficiaries enrolled in Chronic Care Management services. This role is ... stability within a fast-growing Medical Practice + Longevity and consistency of management + Perfect attendance award + Tuition reimbursement program + Employee… more
- Bassett Healthcare (Oneonta, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do Under general supervision by the Supervisor, ... Respiratory Care Specialist will provide clinical training regarding respiratory care to Nursing staff and Providers. The respiratory specialist shall be required to… more
- Mount Sinai Health System (New York, NY)
- …of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, etc.), managed care contracts and coordination of benefits is ... highly desirable. + Excellent interpersonal skills and experience working with senior management and other leaders, along with the ability to communicate concepts to… more
- WMCHealth (Margaretville, NY)
- …our award-winning 82-bed enhanced care facility. We have received a 5-Star rating from Medicare 's " Nursing Home Compare" and 5-star ratings in US News & World ... activities. + Assist in developing, implementing, and maintaining an ongoing quality assurance program for activity department. + Participate in Mountainside… more
- Catholic Health Services (East Hills, NY)
- …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. The Cancer ... "Care Team," which includes Attending Physicians, Pharmacists, Care Coordinators, Nurse Navigators, Social Workers, Nutritionists, and a dedicated team of… more
- CVS Health (Albany, NY)
- …with contract. + Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target ... incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management . Performs review of member claim history to ensure accurate tracking of… more
- Humana (Albany, NY)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest...Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused… more
- Bassett Healthcare (Cooperstown, NY)
- …population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Ambulatory Office Assistant I serves ... encounters including face-to-face and telephone interactions. Assures that a high quality patient experience takes place by providing administrative and/or clinical… more
- SUNY Upstate Medical University (Syracuse, NY)
- …planning, working in a multidisciplinary treatment team model. The Psychiatric Adult Nurse Practitioner will provide high quality professional consult, emergency ... Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility… more