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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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In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements.
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The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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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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The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day functions of health-system throughput, transfer center, quality, and delivery of care.
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Qualifications: The ideal Geriatric Care Manager must possess excellent interpersonal skills and strong computer skills, as well as experience in the field of human services, particularly related to older adults.
$61,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
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Job Summary:Silver Lining Home Care Agency is seeking to hire a Marketing community outreach representative to promote and build our company. Job DescriptionJob DescriptionJob descriptionCompany Overview:Silver Lining Home Care is a licensed Home Care Agency that provides all our patients with quality, compassionate and supportive home care services in an ethical manner.
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PSEG offers a unique experience to our more than 12,000 employees - we provide the resources and opportunities for career development that come with being a Fortune 500 company, as well as the attention, camaraderie and care for one another you might typically associate with a small business.
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Collaborate with the Laundry Manager in implementing strategies for the effective utilization of resources to optimize laundry operations. Collaborate with the Laundry Manager to implement quality improvement initiatives based on operational assessments.
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A qualified candidate will have broad technical experience in molecular biology and the utilization of in vitro models to evaluate the efficacy of biologics drug candidates. The Role Our Protein Assay Development group is seeking to hire an Associate Scientist to become an integral part of the biologics drug development effort.
$60,000 - $80,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. The Marketplace team is looking for a Manager of Advanced Analytics who can use complex data to help our leaders and cross-functional teams make informed decisions, measure success, and drive the business.
$96,000 - $186,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Clinical Coordinator (CC)/Clinical Nurse Manager (CNM) is responsible for the coordination of clinical activities of the Wound Care Center. If the program also provides Vein Care services, coordinates vein clinic and assists in providing care as needed after Healogics Vein Clinic training completed.
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The Nurse Manager coordinates other activities including but not limited to inventory management, budgeting, and performance improvement activities to promote efficient / effective operations and quality patient care.
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Collaborate with Special Populations CHW Project Manager, Special Populations CHW Program Director, and other members of the Central Office Care Models team to identify and respond to training needs; track and report on training participation; conduct performance improvement activities.
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care manager utilization jobs Company: Metroplus Health Plan in Newark, NJ
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