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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.
$93,400 - $116,800 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provide direction for facility operations including collaboration with Goddard Facilities department, NYCHA management office, and coordinate logistics relating to construction and repairs on site.
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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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Duties will include but are not limited to:-The Executive Director of Facilities shall report to the Deputy Commissioner of Administration & Finance. -Oversee, Coordinate, collaborate and communicate effectively with the stationary engineering chief(s) and their stationary engineer team members to provide the division with the resources and services they require to maintain the OCME medical facilities in prime operational condition.
$67,060 - $150,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
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Furthermore, we provide robust ancillary services such as in-house laboratory facilities, an in-house pharmacy, radiology services, access to nutritionists, pathology support, physical therapy, survivorship programs, and dedicated social workers to enhance the comprehensive care we offer to our patients.
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United Staffing Solutions, a leader in staffing, is representing a not-for-profit Managed Long Term Care organization that provides home healthcare services to the elderly, disabled and chronically ill in the New York metropolitan area.
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Provides assistance, support, and information to Facilities management in ongoing custodial/janitorial operations and services. Hudson County Community College is proud of its culture of care and invites applications from those wishing to join a community dedicated to promoting student success in all its forms.
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Juris Doctor and minimum 5 years’ experience, with emphasis in managed care contracting, credentialing and compliance. Candidates must have Juris Doctor and Managed Long Term Care experience (MLTC.
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Plans, coordinates, delivers and manages comprehensive healthcare services for individuals requiring primary care case management, including but not limited to those enrolled in the NYS Medicaid Managed Care Program.
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Loan Review’s mandate covers credit and related trading and/or derivative exposures originated by and managed by various Front Office business units and Credit Risk Management, in Global Markets, Investment Banking, and Distribution and Portfolio Management.
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Liaison between facility departments & providers, Physician Advisors, Network, Acute facilities, Post-Acute care providers, Community based services, Manage Care Organizations (MCO), Department of Health (DOH), Centers for Medicare and Medicaid (CMS), JCAHO, IPRO, Lavanta, QIO's, and other regulatory agencies and the like.
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Our sister company The Specialty Care Group is a rapidly growing medical practice that provides residents in Skilled Nursing Facilities with top-of-the-line care. We are currently searching for a talented Primary Care Nurse Practitioner to join our team.
$130,000 - $150,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Additional Call center experience - Managed IVR Scripting, Managing call center clients, Performed hands-on fixes at the desktop or application level. Experience supporting a major call center system such as Vesta, Genesys, Five9, NICE CXone, Twilio, Avaya, RingCentral.
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The Department of Radiation Oncology at Memorial Sloan Cancer Center (MSKCC) is seeking a qualified Radiation Oncologist candidate for a clinical faculty position in one of our regional facilities in New York, Long Island, or New Jersey (Commack, Nassau, Bergen, or Monmouth.
$350,000 - $555,000 a yearFull-timeExpandApply NowActive JobUpdated Today
facilities ancillary managed care jobs in Manhattan, NY
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