- New York State Civil Service (Schenectady, NY)
- …No Agency People With Developmental Disabilities, Office for Title Registered Nurse 2 Community (Hospital Liaison) Occupational Category Health Care, Human/Social ... a valid New York State license and registrationCurrently a permanent Registered Nurse 2 (Community).OREligible to transfer via Section 70.1 of the Civil Service… more
- Albany Medical Center (Albany, NY)
- …improvement in both areas. + Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up as indicated. + ... Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour Responsible...data management and PC skills. + Working knowledge of Medicare regulatory requirements, Managed Care Plans A. Mission, Core… more
- Fresenius Medical Center (Albany, NY)
- **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct ... supervision of a licensed nurse in accordance with organization policies, procedures, and training...accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state,… more
- CVS Health (Albany, NY)
- …their provider appointments. Can at in the role of care coordinator and clinical team liaison as beneficiaries are preparing for facility discharges. * Acts in the ... * Interacts, consults, and make appropriate referrals to/with internal multidisciplinary team as indicated to help beneficiary maximize best health outcomes. *… more
- CenterWell (Clifton Park, NY)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending ... (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers....State requirements. + Current state license as a Registered Nurse . + 2 years of Home Health experience with… more
- Humana (Albany, NY)
- …We are seeking a Senior Accreditation Professional who will work in a team environment on Humana's health plan accreditations, performing complex tasks related to ... compliance with accreditation standards across multiple operational areas within...+ Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid… more
- CVS Health (Albany, NY)
- …us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...for a referral to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key… more
- CVS Health (Albany, NY)
- …us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...for a referral to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key… more
- Albany Medical Center (Albany, NY)
- …States of America) The Stroke Coordinator will be a Registered Professional Nurse who will establish relationships with all related physicians/professionals or other ... will collaborate with the stroke/neuro-endovascular physicians, unit staff and other team members. This individual will perform oversight of the stroke program.… more