- University of Rochester (Albany, NY)
- …but not limited to, The Joint Commission TJC, Center for Medicaid and Medicare Services (CMS), National Committee for Quality Assurance (NCQA), State Department of ... quality of care. In collaboration with the Payer Enrollment Manager , coordinates the functions related to Delegated Credentialing/Commercial Payer Enrollment… more
- Bassett Healthcare (Oneonta, NY)
- …to department staff, serving as a resource and mentor. The Respiratory Care Specialist assists the Respiratory Supervisor, Manager , and Director with elements of ... of life possible. What you'll do Under general supervision by the Supervisor, Manager , and Director of Respiratory Care Services and working closely with the Medical… more
- New York State Civil Service (Staten Island, NY)
- …Chief Physical Therapist, Chief Recreation Therapist, Developmental Disabilities Program Specialist 1, Developmental Disabilities Program Specialist 1 (Spanish ... Language), Developmental Disabilities Program Specialist 2, Developmental Specialist 4, Head Occupational Therapist, Head Physical Therapist, Head Recreation… more
- Molina Healthcare (Syracuse, NY)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience… more
- Ellis Medicine (Schenectady, NY)
- …the area. Documents discharge planning activities in the chart. Assists Case Manager with medication prior authorizations. Provides Medicare Important Message to ... to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers....audit activities under the supervision of the Case Management Specialist and the Director of Case Management and Social… more
- University of Rochester (Rochester, NY)
- …to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and ... assigned tasks, following standard procedures as directed by the Supervisor or Manager . **Machines and Equipment Used** : Standard office equipment, including but… more
- New York State Civil Service (Tupper Lake, NY)
- …Officer Trainee 1, or Business Officer Trainee 2; Or B. Administrative Specialist 1, Assistant Office Services Manager , Contract Management Specialist ... 1, Head Account Clerk, Health Facilities Management Assistant, Human Resources Specialist 1, Nutrition Services Administrator 1, Purchasing Agent, Senior Accountant,… more
- Somatus (Bronx, NY)
- …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 individual ... Responsibilities + Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals. + Establish positive,… more
- UHS (Binghamton, NY)
- …their unique limitations + Collaborates with the Nursing Coordinator and Unit Manager to facilitate Performance Improvement (PI) activities, track PI data, and help ... develop PI action plans + Works with the Nursing Coordinator and Unit Manager to ensure compliance with Joint Commission, NYS DOH, Infection Control, Medicare ,… more
- Highmark Health (Albany, NY)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more