- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, ... services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through...member care . Essential Job Duties * Supervises healthcare services operations support team members within… more
- Maxim Healthcare (Rochester, NY)
- …and disabilities. Our commitment to quality customer service , compassionate patient care , and filling critical healthcare needs makes us a trusted partner ... Join Our Team as a Clinical Supervisor - RN at Maxim Healthcare !...of homecare clients from admission through discharge + Manage care delivery and personnel, ensuring high-quality clinical services… more
- Molina Healthcare (Rochester, NY)
- Molina Healthcare is hiring a Supervisor , Member Outreach, Training Specialist. This remote role will have a focus on spearheading, facilitating much of the ... Candidates Will Have the Following Experience: + Background Training + Managed Care background and/or is familiar with Medicare and Medicaid. + Process based,… more
- The Cigna Group (Rochester, NY)
- …years in a supervisory role + 1+ year of in-hospital care (critical care preferred) + Home infusion or home healthcare experience strongly preferred + Strong ... **Sr. Supervisor , Infusion Nursing** Accredo Specialty Pharmacy Hybrid Role...infusion nurses delivering specialized therapies in home and alternate care settings. Ensure high-quality patient care and… more
- University of Rochester (Rochester, NY)
- …of activities and outcomes by applying expertise in coding principles and healthcare regulations. Additionally, this role is responsible for ensuring compliance with ... first-line management of assigned teams. Provides supervision, leadership, coaching and counseling. Services as a role model and facilitator to staff. Ensures a… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …of multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all ... claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer service and problem resolution to assigned facilities + Responsible for accurate… more
- Monroe Plan for Medical Care (Rochester, NY)
- …healthcare for underserved populations. For over 50 years, Monroe Plan for Medical Care , a not-for-profit health care services organization, has been ... protected by federal, state, and local pay equity laws. POSITION SUMMARY Provides care management services to specific population eligible for Health Home … more
- Person Centered Services (Rochester, NY)
- …of the individual's care , including but not limited to health and behavioral healthcare , community supports, and other services required to meet the needs of ... care coordinator will take a holistic approach to care by utilizing the core standards of service...Accompanies individuals to appointments in accordance with Person Centered Services policy. + Collaborates with providers and service… more
- Maxim Healthcare (Rochester, NY)
- …and disabilities. Our commitment to quality customer service , compassionate patient care , and filling critical healthcare needs makes us a trusted partner ... + Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services… more
- Maxim Healthcare (Rochester, NY)
- …and disabilities. Our commitment to quality customer service , compassionate patient care , and filling critical healthcare needs makes us a trusted partner ... Registered Nurse or Therapist. The HHA performs various personal care services , as necessary, to meet the...wherever care is needed. Maxim Healthcare , Inc. ("Maxim") is an equal opportunity employer. All… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and provider correspondence related to authorization detail, disease conditions and/or care management program services . Assures accuracy and timeliness of ... The care manager provides feedback to the non- care manager's supervisor , as needed, at the...problems. + Collaborates with other key departments (Claims, Customer Service , related care management units) to ensure… more
- Prime Care Coordination (Webster, NY)
- …and/or DOH regulations, programs, and service delivery systems including Medicaid Service Coordination, Care Coordination, Managed Care , Health Home ... all times. Education and Experience: + Bachelor's Degree in Healthcare , Business, Human Services Administration, or related...+ Minimum 2 years of experience within a health care or human services setting. + Possession… more
- University of Rochester (Rochester, NY)
- …participates in a clinical practice by interacting with physicians, nurses, other health care professionals, and patients as a member of an interdisciplinary team to ... Participates in education of other Pharmacy staff and other healthcare professionals. + Identifies need for patient teaching and...a clear and concise manner. + Proactively identifies patient care problems and does not pass on problems to… more
- University of Rochester (Rochester, NY)
- …participates in a clinical practice by interacting with physicians, nurses, other health care professionals, and patients as a member of an interdisciplinary team on ... patient care units to guide and recommend appropriate medication use....Participates in education of other Pharmacy staff and other healthcare professionals. + Identifies need for patient teaching and… more
- University of Rochester (Rochester, NY)
- …appropriate level of care . + Meets minimum target for units of service -related to calls-as set by the Senior Crisis Call Center Mental Health Therapist. ... Call Center, functions as a crisis call therapist providing crisis phones services to individuals seeking assistance with a variety of psycho-social and/or mental… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external ... and post- service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' medical health conditions,… more
- University of Rochester (Rochester, NY)
- …concerns to a supervisor . Monitors inventory levels consistent to meet patient care needs and communicates any concerns or recommendations to a supervisor . ... to a Registered Dietitian for follow up. Communicates with supervisor , patient care areas and RDNS regarding...Or equivalent combination of education and experience + Customer service experience in healthcare industry with patient… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and collaboration to ensure delivery of consistent and quality health care services . Examples may include: Utilization Management, Quality, Behavioral ... needs of the member, facilitate development of an interdisciplinary care plan, coordinates services , evaluates effectiveness of...of information for providers and other members of the healthcare team. Acts as a liaison between providers and… more
- Helio Health Inc. (Rochester, NY)
- …Service Director and/or Program Director and follows medical orders for patient care . + Communicate with supervisor , medical provider and/or Medical Director ... of substance use, mental health disorders, and other behavioral healthcare issues. In order to support our mission, Helio...status, signs and symptoms of withdrawal and reports to supervisor and/or medical director. + Work with other medical… more
- University of Rochester (Rochester, NY)
- …date. + Maintains current NYS licensure. + Basic Life Support (BLS) Healthcare Provider. + 1-2 years' experience preferred. **Systems and Equipment Used** ... patient transfer assist devices (slider boards, lifts, hover mats), Point of Care Testing (POCT). + Nuclear Medicine imaging equipment, gamma counters, electronic… more