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This includes all activities related to Care/Case Management, Utilization Review, Discharge Planning, Transition of Care, Revenue Cycle, compliance with Policy & Procedures, and adherence to regulatory agencies etc.
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Demonstrated leadership experience in BH utilization and care management, particularly for members with Severe Mental Illness (SMI), Substance Use Disorders (SUD), co-occurring physical health issues, and dual disorders of mental health and substance abuse.
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The Medicaid Care Manager Team Lead manages the daily activities of the Medicaid team (Care Managers and Care Management Associates) to ensure quality outcomes in the delivery of member-centered case management including reduction in emergency room visits and hospital admissions, improved member satisfaction, improved member health, and cost effectiveness.
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About NYC Health + Hospitals MetroPlus Health 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.
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Provide expert guidance and training to stakeholders on insider risk management best practices and the utilization of Proofpoint ObserveIT. Stay abreast of the latest insider risk trends, technologies, and regulatory changes to continuously enhance the institution's insider risk posture.
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Lead the strategic implementation and optimization of all marketing systems and platforms with a focus on digital asset management (DAM) systems, ensuring the efficient organization, retrieval, and utilization of the company's vast library of visual assets.
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MetroPlus Health Plan 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.
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Promotes optimum utilization of system hospital beds by conducting rounds and communicating with admission planners, admitting staff, Emergency Department, Perioperative Services, Transfer Center and clinical and administrative staff on the patient care units regarding bed availability, current census, admission and throughput needs.
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Collaborate with IT and other relevant stakeholders to evaluate, select, and integrate digital asset management (DAM) systems and other technological solutions that align with the unique needs and objectives of the photo studio.
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NYC Health + Hospitals/Lincoln , located just 15 minutes from NYC, is an acute care teaching hospital academically affiliated with Weill-Cornell Medical College. Dedicated to providing high quality patient care to a diverse community, Lincoln Medical Center is a NYS designated Level I Trauma and Stroke Center and has Centers of Excellence in all medical specialties including its award- winning Cancer and Breast Centers.
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Since 1973, Lambda Legal has used impact litigation and other advocacy tools to decriminalize same-sex relationships; challenge discrimination against LGBTQ+ people and people living with HIV in the workplace, in the home, in schools, in health care, and in the military; and protect LGBTQ+ families, including by winning and defending marriage equality.
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Ares offers a number of additional benefits including access to a world-class medical advisory team, a mental health app that includes coaching, therapy and psychiatry, a mindfulness and wellbeing app, financial wellness benefit that includes access to a financial advisor, new parent leave, reproductive and adoption assistance, emergency backup care, matching gift program, education sponsorship program, and much more.
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The company is backed by venture funding from top investors including Oak HC/FT, GV (formerly Google Ventures), F-Prime Capital Partners, Polaris Partners, Deerfield Management, Echo Health Ventures, Centene Corporation, and Independence Health Group.
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The Coordinator, Property Management is the staff member support the Property Management team in coordination of repairs and maintenance. We pride ourselves in providing a full breadth of management services to provide quality, safe, and affordable housing; maintenance; financial reporting; and resident relations.
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The float NP will provide panel care management to PACT providers on short-term and extended leave as well as care for walk-in patients. 2- 3 years of experience as a NP in the appropriate setting for deployment, Basic Life Support (BLS) Certification, Board Certification as a Family Nurse Practitioner (FNP), Adult Gerontology Primary Care Nurse Practitioner (AGPCNP), or Adult Nurse Practitioner (ANP.
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utilization management care jobs Company: Metroplus Health Plan in Jersey City, NJ
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