- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I Core… more
- Bristol Myers Squibb (New York, NY)
- …related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.) strongly preferred + ... Formulary Decision Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to effective treatment for… more
- Hackensack Meridian Health (Lodi, NJ)
- …managers and various referral sources to assist in patient discharge and coordination of care . The IV Clinical Sales Liaison will represent the organization and ... line and products, as well as provide hands-on nursing care to initiate IV start of care ...discharge process from inpatient settings. The IV Clinical Sales Liaison will assess the patient and/or caregiver's ability to… more
- Boehringer Ingelheim (New York, NY)
- …benefit managers, and other organizations providing coordinated, systemic and population-based patient care . The AD AMA will focus primarily on regional and large ... focused and considers the needs and focus of the managed markets customer base in developing its medical/scientific strategy....enable them to capitalize on opportunities to influence how care is accessed and delivered. The AD AMA is… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …+ Strong multi-tasking abilities Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred: Computer proficiency ... multidisciplinary care team to assist with the care of members enrolled in our Managed ...staff, members and providers as needed + Act as liaison and member advocate between the member/family, physician(s) and… more
- Acacia Network (Bronx, NY)
- …+ Provide supervision or treatment of all cases requiring clinical involvement by managed care or other referrals agencies. + Develop and maintain referral ... Transitional Housing Client Care Coordinator Clinical Supervisor (LCSW) Bronx, NY :...interdepartmental communication and conduct social service staff meetings + Liaison with medical staff and psychiatric providers (both internal… more
- Northwell Health (Great Neck, NY)
- …and/or appointments, and obtain appropriate insurance authorization for the next level of care 2.Functions as liaison with all pertinent individuals or agencies ... Number** 126038 Job Description Supports integrated operations and transitions of care activities. Coordinates patient placement with post-acute care facilities… more
- Breaking Ground (New York, NY)
- Social Services Supervisor, Connect to Care , PFNYC 501 7th Ave, New York, NY 10018, USA Req #2547 Wednesday, May 8, 2024 ABOUT US: - We believe that everyone ... on the path to a permanent home. Connect to Care is a suite of programs that bring Breaking...bring Breaking Ground's approach to street outreach into privately managed spaces and discrete geographic areas. Through contracts with… more
- Acacia Network (New York, NY)
- …supervision or treatment of all cases requiring social worker level involvement by managed care or other referrals agencies + Attends seminars and training ... Transitional Housing Client Care Coordinator (LMSW or LMHC) New York, NY...notes for clients on caseload + Work in close liaison with program Nurse Practitioner-Psychiatrist Education/ License: + Masters… more
- Comunilife (New York, NY)
- …management documentation, external networking/communication with contracted entities (hospitals and Managed Care Organizations). The Senior Program Director ... Program Director-Respite Care Job Details Job Location New York, NY...CBOs to facilitate housing referrals and placements. Serving as liaison to contracted entities. + Ensuring that clients are… more
- Acacia Network (Bronx, NY)
- …applications and generate credentialing files for all providers. + Initiate managed care flow by providing applications and pertinent information ... to managed care department to begin health plan...of insurance, claims histories/loss runs and explanations. Serve as liaison for insurance brokers. Update and maintain FTCA database.… more
- Goddard Riverside (New York, NY)
- …(OMH), the NYC Department of Health and Mental Hygiene (DOHMH) and contracted Managed Care Organizations (MCOs) + Oversee new client assessment and assignment ... Assurance + Oversee clinical care and ensuring the highest quality of care + Serve as liaison to NYS Office of Mental Health and NYC DOHMH + Oversee program… more
- The Mount Sinai Health System (New York, NY)
- …assist them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required services, admissions, procedures, ... colleagues + Must have excellent verbal communication & listening skills + Knowledge of managed care plan requirements + Ability to organize and prioritize and… more
- The Mount Sinai Health System (Hicksville, NY)
- …assist them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required services, admissions, procedures, ... colleagues + Must have excellent verbal communication & listening skills + Knowledge of managed care plan requirements + Ability to organize and prioritize and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …be responsible for the timely review and submission of appeals for denied managed care inpatient and/or outpatient claims to insurance companies for ... care change determinations. Gathers and evaluates the information for appeals of Managed Care audits, clinical and technical denials by utilizing various Epic… more
- Erickson Living (Pompton Plains, NJ)
- …Services Representative supports the Erickson Advantage Plan as a member service liaison and assists care coordination inclusive of: telephone triage, referral ... Senior Living Cedar Crest is a beautiful 130-acre continuing care retirement community nestled in the Ramapo Mountains in...part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& levels of appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate 7. ... guidance and interpretation on issues of medical appropriateness and level of care needs 2. Liaison between medical staff and other clinical staff by being: a.… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... only or Public Assistance. This program serves as a liaison to City, State and Federal officials on all...ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …not limited to Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care , Outsource Partners, Practice Management and DTS . ... payment discrepancies which will be used as escalation to Managed Care , the payer, or DTS. Monitors...in revenue flow and discusses solutions. Acts as a liaison between agencies, practice management and Reconciliation department to… more
- Northwell Health (Manhasset, NY)
- …to various inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing, ... managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to physician requests, provides updates and resolves… more