- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to our ... high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
- Cordis (New York, NY)
- …**We are the people behind the people who keep saving lives.** Come be a vital member of the Sales team at Cordis! The **Territory Manager ** position offers you ... + Bachelor's degree or 4+ years of related work experience + 5+ years of sales experience ,...are inclusive, equitable and welcoming. **_Cordis customers that receive Medicare /Medicaid funding may be subject to federal COVID-19 workforce… more
- Stony Brook University (Stony Brook, NY)
- …Laboratory Specialist** in the Department of Laboratories is a valuable member of our team, who provides clinical, technical and administrative services ... units to Nurse Managers. + b. Laboratory safety committee member . Reports emergency environmental situations like floods, power outages,...c. Lab IT Implementation Team: Specimen Receiving LIS System Manager . As LIS System Manager of the… more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees the member experience through the lens of voice of the customer ... gaining in-depth insights into the underlying factors shaping the member experience . The role extends beyond observation... experience data, to influence the long-term experience strategy of Medicare . + Performs other… more
- Molina Healthcare (Yonkers, NY)
- …+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular ... member to ensure needs are met and member is having a positive plan experience ....manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social… more
- Molina Healthcare (Yonkers, NY)
- …setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness and medical ... program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the… more
- Molina Healthcare (Yonkers, NY)
- …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 6 years' experience in healthcare claims review and/or member dispute resolution. + 2 years ... Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized… more
- Danaher Corporation (New York, NY)
- …improving health care through fast, accurate, molecular diagnostic systems and tests. As a member of our team, you'll get to make an immediate, measurable impact on ... (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer… more
- Amgen (New York, NY)
- …General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of ... transform the lives of patients while transforming your career. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account … more
- Catholic Health Services (Farmingdale, NY)
- …* Baccalaureate degree required, Master's degree preferred * Minimum 4 years nursing experience , preferably in Home Care or a Medicare certified Hospice * ... Overview Good Shepherd Hospice is a member of Catholic Health and an integral part...core of over 100 dedicated people. The Hospice Team Manager assumes oversight management and supervisory responsibilities for clinical… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If you have a ... least 3 years of recent clinical and Case Management experience . Experience working in a Medicaid Long...complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of… more
- Sunrise Senior Living (Hicksville, NY)
- …NAME** At Home New York **Job ID** 2025-234538 **JOB OVERVIEW** The Clinical Manager is responsible for the oversight of client care services within the home ... fostering effective communication between healthcare providers, client, and families. The Clinical Manager works to ensure that client care is delivered in a safe,… more
- Molina Healthcare (Yonkers, NY)
- …Healthcare Quality (CPHQ), or other health care or management certification. + Leadership experience . + Medicaid/ Medicare population experience . + Six sigma ... commitments. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** + Collaboratively plans and executes… more
- Option Care Health (Manhattan, NY)
- …expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
- Elevance Health (New York, NY)
- …state-specified certification based on state law and/or contract. + CHHA and/or Medicare Experience Preferred. For candidates working in person or virtually ... - RN Telehealth** is responsible for overall management of member 's case within the scope of licensure; provides supervision...Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities,… more
- Molina Healthcare (Yonkers, NY)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... agreements. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Corporate Compliance business. The… more
- Elevance Health (New York, NY)
- …in: Spanish, Russian, Bengali, Cantonese and / or Mandarin are preferred. + Previous Medicare / Medicaid experience preferred. + Long-term care experience ... + Requires a HS diploma or equivalent + Previous experience in an automated customer service environment; or any...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Medtronic (New York, NY)
- …position supports engagement with commercial payers, managed care organizations, and Medicare Advantage plans. Additionally, this role requires experience and ... access with commercial health plans. This work requires in-depth, direct experience and expertise with commercial payer stakeholders, understanding how medical… more
- Mount Sinai Health System (New York, NY)
- …well with team members. Participate and promote clinical and interdisciplinary team member collaboration to common goals. + Experience in clinical ... risk adjustment for all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report to Vice President, Clinical… more
- Molina Healthcare (Yonkers, NY)
- …markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight ... National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the...services. Required Qualifications * At least 3 of relevant experience , including 2 years of medical practice experience… more
