- Molina Healthcare (NY)
- …an unrestricted New York SW licensure. Candidates with extensive knowledge on Medicare /Dual Special Needs Populations DSNP, and Medicaid Advantage Plus -FIDE /HIDE ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case...of the following: Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
- Bassett Healthcare (Cooperstown, NY)
- …and actions. Raises up emergent situations or expressed patient problems directly to RN , Supervising Nurse , or Practitioner for assistance. Answers phones within ... collection of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Date stamps in all incoming patient related information and… more
- Trinity Health (Schenectady, NY)
- …- Rotterdam, NY** Eddy SeniorCare has a rewarding opportunity for a Licensed Practical Nurse (LPN) to work out of our 1938 Curry Road, Schenectady NY 12303 location! ... of trends in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare provider role… 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
- Humana (Albany, NY)
- …or related field + Clinical degree (eg MD, DO, PharmD, APRN, PA, NP, BSN, RN ) + Highly creative and able to think outside the box **Additional Information** To ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Somatus (Brooklyn, NY)
- …work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. The ... market-based position. Responsibilities + Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health management plans and goals. +… more
- Molina Healthcare (Rochester, NY)
- …experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience ... Association** + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor… more
- WMCHealth (Valhalla, NY)
- …computer skills. Responsibilities: + Facilitate discharge planning referrals as guided by RN CM and SW across multiple units + Provide patient/family with ... terminology, preferred + Knowledge of regulatory agency standards; Centers for Medicare & Medicaid Services, and Det Norske Veritas (DNV) standards, preferred… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB DESCRIPTION JOB TITLE: Transition of Care Nurse DEPARTMENT/DIVISION: Quality Team STATUS: FULL TIME Non-Exempt (Hourly) LOCATION: 696 Dutchess Turnpike, ... + When the structure is in place, the TOC Nurse will oversee the scheduling functions to complete the...EXPERIENCE + Minimum education: accredited nursing program (LPN or RN ) with an active NYS license. + At least… more
- Catholic Health Services (Roslyn, NY)
- …Assistant program, minimum Bachelor's degree required NP - Completion of an accredited Nurse Practitioner program, current RN license and current AANP or ANCC ... to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction...(APP), also known as a Physician Assistant (PA) or Nurse Practitioner (NP) specializing in Internal Medicine, plays a… more