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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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If you're a proficient Registered Nurse with a minimum of two (2) years of recent experience in a home environment within the past fifteen (15) years 🏠, this could involve working with a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), Managed Long Term Care (MLTC), or experience in home care as a paraprofessional (e.g., Home Health Aide or Licensed Practical Nurse (LPN), including Private Duty Nursing, we invite you to submit your application.
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We staff all four major divisions of acute care – nursing, lab, radiology, and rehab therapy One point of contact for both travelers and facilities (per division) In-house compliance and accounting specialists On-staff clinical liaisons Mentoring program that is run and managed by actual clinicians – yeah, you read that right And more (because of course there’s more) Are we the biggest.
$905 a weekFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Communicates the outcome of chart review and managed care company telephonic review with the health care team as appropriate. Educates nursing, medical and ancillary staff about care management role, relevant clinical criteria and resources available for patients, as well as regulatory and managed care requirements.
$118,614 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Includes direct administrative support and supervision of the practice manager and office managers associated with each practice, ensures that physicians are appropriately credentialed for all managed care plans, and that billing processes and procedures are in place to maximize professional revenue.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. The role integrates and coordinates utilization management, care coordination, and discharge planning functions.
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Subject matter expert in healthcare data, with 5 + years of experience with healthcare claims, pharmacy, provider, and clinical data preferably in a Managed Care, Medicare, Medicaid or in a Health plan setting.
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The director will be responsible for the promulgation of all associated Rules to Local Law 9 of 2015/ 2018, and coordination of all efforts with State and City oversight Agencies, Managed Long Term Care (MLTC) plans and the community.
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Maintain responsibility for the overall functioning of the Programs, long-term planning for the Women’s Programs, and ensuring the provision of quality treatment and care for residential and outpatient clients in accordance with the requirements of all accrediting, regulating, and licensing bodies, as well as Catholic Charities Straight & Narrow’s mission, vision, values, and philosophy of treatment.
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This person is trained and knowledgeable about optics, our products/services and managed vision care. Engage with patients/customers and recommend products and services that meet their eye care needs.
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Manages the intake, investigation and resolution of member grievances and appeals for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D, or Select Health to ensure compliance with mandated regulatory processes and timeframes.
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Be all you can be” Sales Director with a passion for building and developing high-performing Sales/Account Management Field Teams within the Workers’ Compensation and/or P&C Insurance Payor space.
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New York Health (NY Health) is seeking a BC/BE General Urologist to become a valuable addition to our expanding, physician-owned, and physician managed multi-specialty group practice situated in Manhattan, NY. This position is for our Fort Washington clinic, to which a Spanish-speaking provider is preferred.
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Our practice is proud to offer a wide spectrum of services, including Hematology/Medical Oncology, Breast Surgical Oncology, Palliative Care, Radiation Oncology, as well as Clinical Trials & Research Programs.
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At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. Minimum of 12 years' experience in the pharmaceutical/healthcare field, with at least 7 years in brand marketing or managed markets, including omnichannel marketing.
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managed care jobs in Union City, NJ
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