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Minimum three years, 2 years of experience in home care or hospital or home care registration or managed care coordination of services. A Baccalaureate Degree from an accredited college or university in Business Administration, Community Health, Psychology or related discipline with one year of full-time experience in a supervisory or administrative capacity in business management systems, general administration, health care and medical/patient systems administration.
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Under the direction of the Director of Admissions & Director of Utilization Review, the Utilization Review Specialist will coordinate Medicaid Managed Care benefits and approvals for clients receiving behavioral healthcare services from Odyssey House’s Part 820 residential programs.
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OVERVIEW OF THE COMPANYFox CorporationUnder the FOX banner, we produce and distribute content through some of the world’s leading and most valued brands, including: FOX News Media, FOX Sports, FOX Entertainment, FOX Television Stations and Tubi Media Group.
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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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Clinical Support and Collaboration: Support OMH’s Hospital Care and Community Connections work to promote improved coordination of care and care transitions (including homeless, geriatric and rural issues), assist with OMH activities for the Medicaid Managed Care Program and other NYS regulated insurance programs and support mental health parity initiatives initiated by OMH. Support data driven implementation efforts led by the OMH Office of Population Health and Evaluation.
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Overview:The Adult Protective Services Litigation and Program Counseling Unit represents the agency with respect to support for the Home Care Services Program, the HIV and AIDS Services Administration (HASA), Adult Protective Services (APS), the Medical Assistance Program (MAP), and the Medicaid Managed Care Program.
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Perform medical intakes on all new NYPD and CE cases admitted to CARE and in collaboration with partner departments for animals admitted to veterinary partner hospitals, AAH, ARC, and Adoption Center as needed.
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We are seeking a Utilization Review Nurse (LVN/RN) with strong clinical judgment to join our team at a Managed Care Organization in New York. In this role, you will play a pivotal role in ensuring high-quality, cost-effective care for patients, facilitating their journey towards maximum medical improvement while receiving medically necessary treatment.
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Scope, sell, and deliver commercial data projects, which can include but are not limited to market sizing/ segmentation, provider profiling/targeting, provider affiliation mapping, epidemiology studies, managed care analytics, pull-through modeling / program design, forecasting, field force design, and incentive comp.
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All the firms associated with MNA are independently owned and managed entities. Thorough understanding of business processes including:Order to Cash; Procure to Pay; Fixed Assets; Record to ReportSuiteBilling; Revenue Management/ARMExperience with NetSuite SuiteFlow & Advanced Approvals preferredExperience supporting NetSuite integrated applications (Banking/ACH, Avalara, Concur, BILL, RF Smart, etc.
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Supports the Director of Technology Risk and Resilience Oversight (TRRO) in ensuring IT, data management, cybersecurity, and operational resiliency risk is adequately governed, managed and controlled.
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Perform institutional fundraising and fund development for the firm's main funds and separately managed accounts. Our global Alternative Investment Management client is seeking to recruit a lateral Investment Banking Analyst (Leveraged Finance or M&A) to perform fundraising, fund development, investment analysis and new loan transaction underwriting.
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Performs medical and nursing treatments in accordance with plan of care, provider orders, and NYSBON scope of practice. Escalates urgent/emergent deviations to medical provider and/or emergency care.
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Get To Know The Team We are looking for a Robotic Processing Automation (RPA) developer who can help the Managed Services business enhance its ability to deliver high quality operational results, at scale, through the development and deployment of intelligent automation technologies, including RPA, NLP, OCR, ML and AI. Why You Will Love It Here.
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And referrals to medical specialists for follow-up care via Aftercare. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
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managed care banner jobs Title: medical in Newark, NJ
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