- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... on workplace flexibility. **Must have a New York State clinical license.** **Hours: 8:30am-5pm EST Monday - Friday.** **Position...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- CenterWell (Albany, NY)
- …our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with ... a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to...next round of interviews._ Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- GE HealthCare (Schenectady, NY)
- **Job Description Summary** The Lead Clinical Applications Specialist provides industry leading applications support for the development of Ultrasound Enhancing ... exams. The primary responsibility of this specialist is to act as clinical "voice of the customer". Deliver in-service education presentations to customers in… more
- Homes for the Homeless (Bronx, NY)
- CLINICAL SOCIAL WORK SUPERVISOR, LCSW We are excited to invite a passionate and experienced part-time Clinical Social Work Supervisor to join our team! Homes for ... the Homeless (HFH) is searching for an experienced Clinical Social Work Supervisor to work in our Families...+ This is a hybrid role: work is primarily remote with required quarterly in-person group supervisions held in… more
- Trinity Health (Rensselaer, NY)
- …Calls must be accurately managed - Assembles information concerning patient's clinical background and referral needs. Per referral guidelines, provides appropriate ... documented clinical information to specialists. - Reviews details and expectations regarding the referral with patients. - Communicates any prep instructions via… more
- Mount Sinai Health System (New York, NY)
- …Certified Principal Trainer in Ambulatory and/or ClinDoc preferred. Other Epic Clinical certifications would be considered (Clindoc, Willow, Ambulatory, ASAP, Stork, ... Radiant, Optime, Anesthesia and/or Beacon) , 291 - DTP Clinical Applications And Training - MSH, Mount Sinai Hospital **Responsibilities** 1. Plans and administers… more
- Molina Healthcare (Buffalo, NY)
- …and contributing to initiatives that directly support regulatory and clinical compliance. **Knowledge/Skills/Abilities** + Support RADV audit execution by ... + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure accurate data sourcing and… more
- Option Care Health (Albany, NY)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services… more
- Molina Healthcare (NY)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with… more
- Molina Healthcare (Rochester, NY)
- …decisioning, adjusting, and responding timely to claim disputes. Team consists of clinical and non- clinical staff. * Establishes Medicare Contracted Provider ... Post Pay dispute and appeals policies/procedures and updates annually or as directed otherwise. * Collaborates with Health Plan leaders to ensure Contracted Provider appeals and disputes are processed in accordance with local Health Plan requirements * Works… more