- Healthfirst (NY)
- …the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The Case Manager, ... necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or...Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State… more
- Kaleida Health (Buffalo, NY)
- …provides reimbursement planning and is responsible for key decision-making related to Medicare , Medicaid, and other Third Party Payors to ensure payment. Provides ... **Education And Credentials** **Associate degree in nursing required, bachelor's preferred. RN license required upon hire.** **Experience** **3 years of Long Term… more
- Arnot Health (Elmira, NY)
- …interpretation of regulatory standards, including The Joint Commission and Centers for Medicare and Medicaid Services (CMS); ensures a constant state of readiness; ... and expertise to hospital administration's policy and procedure committee with scheduled review and update to appropriate policies and access to all relevant… more
- Albany Medical Center (Albany, NY)
- …late cancelations and no shows. + In conjunction with the CEAD RN staff, administrative oversight of the infusion treatment program, including patient enrollment ... program, including but not limited to intake and assessment tools, policy/procedure/development/ review , and database management. + Collaborate with a variety of… more