- Molina Healthcare (Yonkers, NY)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Yonkers, NY)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Molina Healthcare (Yonkers, NY)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid. This position will provide direct support to the implementation… more
- Molina Healthcare (Yonkers, NY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Mount Sinai Health System (New York, NY)
- …environments + Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric (NY HELPS), New York State Psychiatic Institute (NYSPI), P26543 ... NY Zip Code 10032 Duties Description As an Assistant Director Nursing 1 Psychiatric, you will assist in the...OMH employees receive a generous benefits package including:* NYS medical , dental, & vision insurance* Access to tuition assistance… more
- Mount Sinai Health System (New York, NY)
- …Description** **The Mount Sinai Health System seeks an Obstetrics and Gynecology System Medical Director for its Ambulatory Services at Mount Sinai Hospital!** ... status for nursing care, and it is the only medical center in New York State to earn Disease-Specific...a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric… more
- New York State Civil Service (Bronx, NY)
- NY HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Center 2 - Administration, M-6, Bronx Psychiatric Center, P26649 Occupational Category ... of Mental Health (OMH) facility is recruiting a Deputy Director , Psychiatric Center 2 - Administration (DDPC 2 -...Manager or Practice Manager at a doctor's office or medical practice, as well as experience working for an… more
- Bayer (Stamford, CT)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - (Northeast USA)** **Associate Director ... HCPs and Office staff in navigating therapy Prior Authorizations (PAs), Medical Necessity documentation and therapy PA denial appeals. Develop collaborative working… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Billing Director -Patient Financial Services- Corporate (ON SITE) Full-Time -Days** Responsible for direction and management responsibility over ... the business and operational activities of a department or medical care unit. **Qualifications** + 5 or more years...standards and billing regulations set by governmental agencies like Medicare and Medicaid. + May chair or participate in… more
- The New Jewish Home (Bronx, NY)
- …The HAPI Division of The New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job Summary: Oversees all clinical operations, ... improvement activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP, Home & Community Based Services and/or… more
- The New Jewish Home (Manhattan, NY)
- The Manhattan Nursing Home of The New Jewish Home is seeking a full time Director of Admissions to join our team! Job Summary: + Management of operational systems, ... scheduled or walk in as needed. + Keep abreast of current Medicare , Medicaid, and Civil Rights regulations governing admission, discharge requirements of healthcare… more
- New York State Civil Service (Orangeburg, NY)
- …Duties Description The incumbent of this position is intended to serve as the ATC Medical Director and will function as part of a multidisciplinary team with ... NY HELP Yes Agency Addiction Services and Supports, Office of Title Medical Specialist 2 (Blaisdell ATC) Occupational Category Health Care, Human/Social Services… more
- Option Care Health (New Rochelle, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** (listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- New York State Civil Service (Bronx, NY)
- …Bronx State NY Zip Code 10461 Duties Description NYCCC is recruiting a Director of Clinical Risk Management Department to oversee their Risk Management Department ... will supervise the Clinical Risk Managers (CRM) assigned to the department. The Director will have on-call and recall responsibilities along with evening work hours.… more
- Genesis Healthcare (Danbury, CT)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and ... our Clinicians in Action professional development program. Responsibilities The Director of Rehab PTA is responsible for the efficient...period of one year. 5. A thorough knowledge of Medicare and third party billing is also required. Posted… more
- Molina Healthcare (Yonkers, NY)
- …therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics ... outreach and coordination of services, including MTM services for Medicare and Medicaid eligible members as well as Medication...to drug therapy were implemented. * Assists Manager or Director in the collection and tabulation of data for… more
- City of New York (New York, NY)
- …health outcomes for all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems is the healthcare systems bureau ... supporting the strategic plan and vision of the Chief Medical Officer. Our mission is to apply policy, evidence,...65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ;… more
- Goddard Riverside (New York, NY)
- …services include: assistance with applications and recertifications for benefits, including Medicare , Medicaid, long term care, SNAP, HEAP, accessing Food Resources, ... referrals and providing connections to medical care, in-home care, legal services, collaboration with the...+ Assistance staff members, Nurse, Volunteers, Consultants and Program Director + Provide emergency assistance and outreach if needed… more
- Planned Parenthood of Greater New York (New York, NY)
- POSITION SUMMARY The Manager of Financial Counseling works closely with the Director Financial Counseling Services to provide support and oversight. The Manager is ... monthly by type of insurance and overall success metrics. * Assisting the Director of Financial Counseling Services, develops, maintains and acts as a liaison to… more