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MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
$105,774 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Jefferson Health at Home by BAYADA, a joint venture managed and run by BAYADA, is a partnership between Jefferson Health and BAYADA Home Health Care, with the mission to improve patient outcomes and expand the delivery of high-quality health at home to meet the increasing demand for in-home services in Greater Philadelphia and South Jersey.
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Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. JOB SUMMARY: Responsible for accomplishing their primary goal of providing support and rendering Excellent Customer Service by addressing all Health Plan Members calls related to inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation and the status of authorizations for medical care.
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Deliver 1:1 skilled nursing, intervention, and supportive care in accordance with individual care plan, including administration of medication, wound care, treatments, and comfort care Perform client assessments, provide education to the patient and/or their family, and monitor patients' condition.
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Assists in administrative activities to support state/practice managed care functions, which may include provider plan participation and credentialing, contract files, EOB analysis and managed care reporting.
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Performs plan of care intervention, including medication administration, specimen collection, clinical treatments, as well as other medical care treatment. AHA Advanced Cardiovascular Life Support (ACLS) required for Urgent Care, Cardiology & Vein clinic only within 90 days of hire.
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Through oversight and management of a multifaceted team, the Director will help lead performance Improvement activities and also oversee Gotham Health's fulfilment of quality assurance requirements as put forth by Health Resources and Services Administration (HRSA), New York State Department of Health, Gotham Health's annual performance improvement plan, the NYC Health+ Hospitals' Quality Assurance/Performance Improvement (OAPI) Committee of the Board of the Directors, among others.
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Demonstrated knowledge of DPH, DMH, CMS and JCAHO requirements for health care and administration. Bargaining Unit: 07-MNA - Professional Health Care. Capacity to participate in inter-disciplinary health care teams.
$38,227.15 - $62,232.04 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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CHRISTUS Irving Corporate Health Plan Administration Office. Risk Adjustment Education Specialist - Health Plan Admin. 5 years of experience in a hospital, a physician setting, or a Managed Care Organization as a medical coder required.
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Medicalincs is a renowned healthcare business & clinical management services firm that supports health organizations to improve organizational performance by providing less expensive, human-centered, integrated, managed care solutions.
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Basic knowledge of SAS. Strong knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. Knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems.
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The National Nuclear Security Administration IT Managed Services (NIMS) is an exciting program performing IT support for the Department of Energy's organization responsible for enhancing national security through the application of nuclear science by maintaining and enhancing the safety, security, and effectiveness of the US nuclear weapons stockpile.
$91,034 - $123,164 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provide health and wellness coaching as directed by the Engaged Enrollee's care team and as indicated in the Enrollee's LTSS Care Plan. Coordinate all aspects of service delivery and promote integration with health care providers, BH providers, LTSS providers and community/social service provides that the Assigned or Engaged Enrollee may be receiving, as outlined in the LTSS Care Plan.
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Keywords: mental health, behavioral health, developmental disabilities, intellectual disabilities, ABI, acquired brain injury, care worker, care giver, social services, counseling, social work, group home, DSP, DDS, Direct Care, home health aide, HHA, psychology, mental health, disability, developmental disabilities, rehabilitative, outreach services, human services, nonprofit, autism, crisis, trauma, advocacy, recovery, VinfenRC, VinfenAON.
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The CCMHC is responsible for providing triage, clinical assessment, direct diagnosis of mental health disorders in conjunction with DSM, ICD-10 and Collaborative Care and/or Psychotherapy codes, psychoeducation to patients and primary care providers, care coordination, case management, direct evidence-based psychotherapy, treatment plan formulation and updates, crisis coordination, and relapse prevention planning.
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health plan administration managed care jobs Title: compliance
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The Effects of Workplace Racism and Sexism
One day it's a covert statement to a mother returning to work after maternity leave. Another day it's a lingering gaze at an employee enjoying a culturally rich meal. These microaggressions (or sometimes macroaggressions) can take an employee from a confident, high-performer to one that feels insecure being themselves at work. Your employees engage with people with different ideas and feel most comfortable and valued when they can work without losing their cultural, racial, and gender identity. While most employers know this, why have workplace racism and sexism often been neglected?
When Rage Applying Strikes: How to Identify Unserious Candidates
As the job market remains highly competitive, we have seen a surge in "rage applying." This is when candidates apply to multiple jobs, often without considering whether they are truly interested in the role. Rage applying goes hand-in-hand with quiet quitting. Often, employees want to entertain the thoughts and feelings of leaving their job, but they aren't necessarily serious about leaving yet. Meanwhile, other employees engaging in this trend are actually trying to find a better role. As a recruiter, it can be hard to identify who are the real applicants in a sea full of quiet quitters, but understanding rage applying and identifying red flags will certainly help.
How to Increase Job Ad Exposure
In today's competitive job market, writing quality job ads is critical for attracting top talent to your organization. While networking and candidate referrals are prime real estate for finding qualified candidates, nothing beats the tried-and-true method of writing an extraordinary job ad. But while writing a great job ad is the first step, what's more important is increasing visibility. You could have the most detailed, well-written ad on the internet, but if no one sees it, then you are wasting time (and potentially money!). Employers often believe that job boards are the root of the problem, but you can learn how to increase job ad exposure by tweaking a few steps of your recruitment process.
How to Navigate Hiring Out of State
The job market has shifted significantly in recent years. The accelerated adoption of technology has not only pushed many companies into remote working arrangements but also increased the availability of supporting tools and technologies (i.e., video conferencing and collaboration software).
Building a Candidate Pipeline Through Internships
Building a candidate pipeline through a great internship program for local college students and recent graduates at local universities is a great and cost-effective way to attract and retain top talent. By offering meaningful and impactful work experiences, regular feedback, coaching, and mentorship, you can create a positive internship experience that will make your organization a sought-after destination for future employees. This not only benefits the organization in the short-term but also in the long-term, as you'll have a pool of well-trained and experienced candidates who may be interested in full-time employment once they graduate. Furthermore, building relationships with local universities and college students can increase brand awareness and build a positive reputation for your organization in the local community.
Hiring Transparency
Transparency in hiring refers to the open and honest communication and information sharing that takes place between employers and job candidates. It encompasses all aspects of the hiring process, from posting job descriptions to providing feedback on performance during and after the interview process. In today's job market, hiring transparency has become increasingly important for both employers and candidates alike.
Recruitment strategies that are weird, but actually work
In the current candidate-driven job market, recruiters are looking for unique ways to attract talent. Some have resorted to even (dare we say it?) recruitment strategies on the border of weird and wacky. What can we learn from the unusual recruitment tactics that are being used and actually getting results? Here’s a rundown of some unique recruitment strategies that actually work.