- Elderwood (Waverly, NY)
- Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS ... team meetings at the discretion of the MDS Coordinator . Responsibilities Managed Care Coordinator Essential Job Fuctions + Able to successfully interact… more
- Elderwood (Buffalo, NY)
- Salary $20 - $22 / Hour Overview Therapy Managed Care Coordinator Be the vital connection between quality care and patient access. Elderwood is seeking a ... detail-driven Therapy Managed Care Coordinator to join our Rehabilitation Services team. In this role, you'll support our Directors of Rehab while serving as… more
- St. Catherine's Center for Children (Albany, NY)
- …Director of Centralized Intake and Managed Care Relations, the Intake & Managed Care Coordinator oversees all referrals and intake operations for Day ... COORDINATOR , INTAKE & MANAGED CARE Location: Albany Program : Centralized Intake Type : Full-time; Non-Exempt position Pay Range : $26.00 - $29.00 (hourly)… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Health Home Plus - Care Coordinator Troy, NY We are looking for an energetic individual to ... any social determinants of health. **Position Summary:** The HH+ Care Coordinator will develop a professional and...well as knowledge of working with community agencies and managed care representatives. + Experience working with… more
- Educational Alliance, Inc. (New York, NY)
- …and adherence to program standards. + Monitor compliance with Medicaid waiver requirements, managed care contracts, and Social Care Network (SCN) standards. ... readiness for external audits or site visits by regulatory agencies or managed care organizations. + Maintain up-to-date knowledge of Medicaid regulations,… more
- The Salvation Army (Rome, NY)
- …parking SCOPE AND PURPOSE OF POSITION:The SCC will have responsibilities for both managed care and program coordination for The Salvation Army's participation in ... the Social Care Network (1115 Waiver). The Social Care Coordinator is a direct point of contact for Medicaid Members with ongoing HRSNs (health-related… more
- Helio Health Inc. (Rochester, NY)
- … management and coordination of services to Health Home enrollees and eligible Medicaid/Medicaid Managed Care community members. The Health Home Care ... with enrollee to create a comprehensive person-centered plan of care to meet their medical, behavioral health and social...and overall coordination of all aspects of an individual's care . + Offer family support, and referral/linkages to community,… more
- Elderwood (Cheektowaga, NY)
- …tracking Medicare days in the facility. + Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for ... We want to talk with you! RN - MDS Coordinator Position Overview: + Oversees, reviews and/or completes the...preferred + Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs… more
- Brothers of Mercy (Clarence, NY)
- …RNto join our award-winning team. Overview Manages Medicare, Medicaid, and Managed Care revenue processes. Ensures residents receive appropriate skilled ... MDS Coordinator RN Job Details Job Location Brothers Of... + Reviews and ensures compliance with Medicare, Medicaid, Managed Care , third-party payer requirements, and internal… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of ... MDS Coordinator RN The Glengariff Healthcare Center is looking...case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party… more
- Westchester Jewish Community Services (White Plains, NY)
- …for planning and implementing the daily, weekly, and monthly activity related to Managed Care , Medicaid and 3rd Party Insurance. This position ensures timely ... backgrounds each year. We are currently seeking a Billing Coordinator to join our team. This role is responsible...not limited to: + Process and review billing for Managed Care , Medicaid, and Third-Party Payers, ensuring… more
- Humana (Albany, NY)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Evolent (Albany, NY)
- …regulatory and health plan requirements. They have a broad knowledge of health care delivery, managed care regulations, and prior authorization experience. ... Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for...role or comparable administrative role within a health plan, managed care organization or third-party administrator is… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts… more
- Catholic Health Services (Melville, NY)
- …+ Maintains knowledge of requirements by third party payers, regulatory agencies, and managed care entities concerning levels of care , continuity of ... benefits and medical necessity guidelines. + Knowledge of managed care and the current standards and trends of patient care , best practices, management… more
- Weill Cornell Medical College (New York, NY)
- …+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working ... Title: Patient Coordinator Location: Upper East Side Org Unit: Endocrinology...(EPIC preferred) and/or electronic Medical Record (eMR) system (ideally EPIC- Care ). + Knowledge of CPT, ICD-9, and ICD-10 coding.… more
- New York University (New York, NY)
- …for New York State mental health and substance use agencies. For instance, the Coordinator may support the Managed Care Technical Assistance Center (MCTAC), ... and best practices. We are seeking a full time Coordinator to join our team. This position will support...policy and committed in improving the quality of health care that is provided to underserved, at-risk, and vulnerable… more
- New York University (New York, NY)
- …New York State mental health and substance use agencies. For instance, the Senior Coordinator may support the Managed Care Technical Assistance Center ... motivated individual to serve as a full time senior coordinator . This position will support a range of projects...policy and committed in improving the quality of health care that is provided to underserved, at-risk, and vulnerable… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP No Agency Education Department, State Title Project Coordinator (Attorney), Box OEP-73/51559 Occupational Category No Preference Salary Grade NS Bargaining ... Department's (NYSED) Office of Education Policy is seeking candidates for a Project Coordinator in the Charter Schools Office (CSO). The Charter Schools Office is… more
- Guthrie (Cortland, NY)
- …and facility staff, those residents who will need short‐term rehabilitation and long‐term care . + Obtain pre authorizations for managed Medicare residents and ... Begin your next chapter as an Admissions & Infection Control Coordinator at Guthrie Cortland Nursing and Rehabilitation Center - and earn up to a $25,000 Sign‑On… more