- New York State Civil Service (Corinth, NY)
- …employees options to pay for uncovered health care expenses or dependent care expenses.* Access to the Employee Assistance Program (EAP) an assessment and ... members to promote optimal health outcomes. The Nursing Case Manager also serves as a liaison between medical providers,...or placement of a child for adoption or foster care .* Retirement Program :Participate in The NYS Employees'… more
- Arms Acres (Carmel, NY)
- …plans in conjunction with referring persons/agencies, EAPs and managed care /insurance entities. Participates in facility program and quality improvement ... and intervention with client support systems, including social service programs and managed care . *sign on bonus eligible DUTIES AND RESPONSIBILITIES:… more
- Omnicell (Watertown, NY)
- …including prior authorizations, limited distribution products, complex disease states, and the managed care environment, is preferred. + Five or more years ... prior authorizations, limited distribution products, complex disease states, and the managed care environment, is preferred. + Demonstrated experience… more
- Resource Center for Independent Living (Utica, NY)
- …of ISPs. + Work locally to establish mutual referral systems with Managed Care Organizations, Performing Provider Systems, hospitals, nursing homes, service ... on the job. Multiple work schedules available. + Wellness program with the ability to earn an additional 3...their transition. This may include ongoing communication with landlord, care manager , community service providers and natural… more
- Molina Healthcare (Albany, NY)
- …at least 2 years as a medical director in managed care organization supporting utilization management/quality program management, or equivalent combination ... utilization management services) in the development and execution of care management, utilization management and disease management programs. Develops clinical… more
- Molina Healthcare (Buffalo, NY)
- …and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer ... * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- New York State Civil Service (New York, NY)
- …as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience as a legal nurse consultant; and * ... Knowledge of state and federal rules and regulations related to health care , particularly the Medicaid program . Additional Comments The salary for this position… more
- New York State Civil Service (Jamaica, NY)
- …related claims processes. Stay abreast of enforcement-related Workers' Compensation Board program requirements.* Proper use of board-issued equipment, such as iPad ... HELPSThis title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program , this title… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - ... community-based organization meetings as required/complement or collaboration with Community Engagement Program Manager . * Gain Subject Matter Expertise (SME)… more
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