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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Service Assistance: Assist clients in accessing Certified Home Health Agency (CHHA), Managed Long-Term Care (MLTC), Consumer Directed Personal Assistance Program (CDPAP), and Personal Care Aide (PCA) services.
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At least five (5) years of analytics development experience for a health provider, health plan or accountable care organization including:Experience working in a health plan and/or Health Delivery System focused on medical economicsExperience working in healthcare provider analytics related to managed care contracting, population management, clinical or financial decision supportStrong data mining skills using tools like SQL, R, Python, SAS, etc.
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Ensures patient and family centered quality care to improve outcomes and patient experience, in accordance with applicable NYC Health Hospitals policies and procedures, state and federal rules and regulations and nursing standards of care.
$142,975 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Ambulatory Care Nurse provides comprehensive care in support of all patients manifested requirements through: administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling.
$132,500 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
$38.07 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. About NYC Health Hospitals NYC Health Hospitals is the largest public health care system in the nation.
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The Nurse Residency Program features interactive sessions, special educational events, simulations, and group seminars on evidence-based best practices, decision-making, conflict-resolution, end-of-life care, health care quality, patient safety and more.
$100,750 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Acts as a liaison between Community Care and all NYC Health and Hospital facilities and their providers maintaining positive working relationships with all members of the care team.
$130,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Division covers a broad range of subject matter, including oversight of environmental investigations, lead poisoning, injury prevention, occupational health, food safety, child care, radiation control, recreational and drinking water quality, air quality, climate health, vector control, veterinary public health and pest control.
$48,170Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As a Senior consultant, you will be working closely with health plan and managed care clients on a range of complex assignments. A minimum of five (5) years of prior work experience in healthcare, consulting, or the healthcare industry such as health plan finance, accounting, audit, managed care, or healthcare operations with a health plan focus.
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Qualifications: Master’s degree in Social Work Required with NY LMSW, OR Master's Degree -Mental Health Counseling with NYS LMHC CASAC-T Preferred Clinical work with youth and families required, including crisis management.
$31.86 - $34 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our cardiac rehab program is tailored to the care plan prescribed by the referring physician, offering patients access to a team of exercise physiologists, registered nurses, health coaches, and dietitians who cater to each patient's unique needs.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Health care concerns. Experience with Higher Education Software, Ellucian Banner/Colleague or Anthology preferred. Medical: RCSJ offers its employees several health insurance options through the NJ State Health Benefit Program as a local education employer.
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health managed care banner jobs in New York, NY
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