- Molina Healthcare (New York, NY)
- …* Provides second level behavioral health clinical reviews, peer reviews and appeals . * Supports behavioral health committees for quality compliance. * Implements ... (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other… more
- NewYork-Presbyterian (Brooklyn, NY)
- …that a successful applicant will need are listed in the following description. Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located in Park Slope, ... care to the surrounding communities for over 135 years. The Case Manager is responsible for all aspects of discharge planning and utilization management/review… more
- BronxCare Health System (Bronx, NY)
- Overview The Appeals Manager is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and ... to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending of all denials and … more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as… more
- EAC Network (Garden City, NY)
- …Category Human Service Description Join Our Team as a Grants and Development Manager ! Are you passionate about supporting diverse populations and making a real ... Long Island and NYC, is looking for a dedicated full time Grants and Development Manager to join the Development team here at EAC Network. + Salary: $75,000 to… more
- New Jersey Institute of Technology (Newark, NJ)
- Title: Prospect Manager Department: SVP Advancement Reports To: Executive Director of Operations and Analytics Position Type: Staff Position Summary: Prospect ... Manager is responsible for overall leadership of prospect development...and deadlines. -Guide constituent list segmentation for annual giving appeals , planned giving appeals and marketing, and… more
- Calvary Hospital (Bronx, NY)
- The RN Case Manager (RNCM) will be responsible for all aspects of case management for an assigned group of patients to determine the appropriateness of the Level of ... collaboratively with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as needed, coordinating… more
- City of New York (New York, NY)
- …ARE PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE CONSTRUCTION PROJECT MANAGER . About the Agency: The Administration for Children's Services (ACS) protects ... seeks qualified applicants for the position of Construction Project Manager to play a critical role in the Planning,...correspondence - Investigate and advise on contract disputes and appeals ; compile documentation related to claims - Serve as… more
- City of New York (New York, NY)
- …- Investigates and advises the agency concerning contract disputes, and appeals on the rejection of equipment, materials, or workmanship; compiles contract ... or encapsulation of lead contained in or on any surface. CONSTRUCTION PROJECT MANAGER - 34202 Qualifications 1. A four-year high school diploma or its educational… more
