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Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Collaborate with the Managed Care payers and Care Management and Social Work at each facility to facilitate post-acute care authorization requests to alleviate throughput in the emergency department and the inpatient acute setting.
$97,589.96 - $162,649.75 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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In this role, the successful candidate The Senior Contract Manager-Managed Care assists with the development and implementation of managed care strategy for NYU Langone Hospitals Tisch, Orthopedic, Brooklyn Long Island and Long Island Community Hospital at NYU Langone Health including all Article 28 freestanding facilities such as the Perlmutter Cancer Center, NYU Langone Home Care and the Long Island Community Hospital Hospice.
$97,589.96 - $162,649.75 a yearFull-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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Experience as a NY licensed RN working in a home care environment or in an acute, sub-acute, or long-term care (LTC) setting or managed long-term care (MLTCP.
Full-timeRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Compass Healthcare Consulting and Placement is currently seeking experienced Registered Nurses for Remote RN Care Manager opportunity working for Managed Care Plan members. Coordinates transitional care management (acute to home, home to skilled nursing facility SNF/custodial, home to hospital and acute to SNF/custodial.
$100,000 - $115,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Centers Health Care family offers Skilled Nursing, Urgent Care, Managed Care, Renal Dialysis Services, Clinical Laboratory Services, Adult Day Health Care, and Assisted Living services, as well as every level of Home Care. Centers is well known for our commitment to our employees, offering outstanding ongoing training and development, career advancement opportunities, competitive pay rates, generous compensation packages and more.
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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.
$66,000 - $75,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Experience in health insurance, home care environment, acute, sub-acute, long-term care (LTC) setting or managed-long term care (MLTC) A solid understanding of the value of integrated care.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Working knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan. For SelectHealth ETE Only: Experience in Public Health programming, delivery and evaluation preferred Experience working with community-based organizations in underserved communities preferred.
$85,000 - $106,300 a yearFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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We serve a wide range of clients that includes state governments; health care providers such as health systems, specialized hospitals, medical groups, pharmacy chains, and long-term and post-acute care providers; managed care plans and insurers; life sciences companies; regional health information organizations; telehealth and digital health companies; and labor unions representing health care workers.
$225,000 - $295,000 a yearFull-timeExpandUpdated Today - UpvoteDownvoteShare Job
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Our extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by our team of compassionate and skilled professionals, are medically managed from evaluation through treatment to ensure patients have the best achievable outcomes.
ExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Current, valid and unencumbered RN license, certificate or registration or credentialing as required Experience as an RN working in a home care environment or in an acute or sub- acute or long-term care (LTC) setting or managed long-term care (MLTC) Intermediate ability to use computerized systems such as Microsoft Outlook, Microsoft Word, Excel, and HHA Exchange Travel by public transportation or private vehicle is required.
Part-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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1 year of RN experience in managed care, home care, acute care or nursing home preferred. Reporting to the Supervisor of Care Management this position will provide case management to our members including medical, social, psychological, physical and spiritual needs by developing, implementing and monitoring the care plan, in conjunction with the PCP, caregivers and other team members, to help meet the member's needs.
$90,000 - $110,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Ideal candidates will have demonstrated experience in Medicaid issues, such as coverage, reimbursement, managed care delivery systems, or demonstration projects under section 1115 of the Social Security Act. Candidates without such experience are nonetheless encouraged to apply if they have a strong interest in and willingness to learn about Medicaid, particularly if they have experience with the federal Administrative Procedure Act.
$225,000 - $295,000 a yearFull-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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He/she is responsible for creating and refining IT system requirements including standing up IT structure supporting Business Operations initiatives managed by the Senior AVP of Business Operations.
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acute care managed of jobs in New York, NY
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