- Willcare (Catskill, NY)
- We are hiring for an RN Clinical Manager for our home care agency in Kingston, NY . This position is full time salaried. Salary range $80-87,000/year At ... requirements. Skill Requirements: * Prior management experience preferred. * Knowledge of home care regulations and regulatory requirements is preferred. By… more
- Trinity Health (Albany, NY)
- …healthcare model to enable seniors to remain in the community and avoid/delay nursing home placement. Imagine, primary care where you: See just 3-5 patients a ... Eddy SeniorCare. Over 130 PACE programs (Program of All-Inclusive Care for the Elderly) across the country are delivering...your patients: our own transportation service, an on-site psychiatrist, home health services, rehab, and much more! A full… more
- Sodus Rehab & Nursing Center (Ghent, NY)
- …all shifts. + Directly supervise all Home Health Aides in the Licensed Home Care Agency Program. + Maintaining knowledge of general whereabouts of each ... changes in residents' conditions affecting their need for personal and emotional care , need for supervision or occurrence of incidents is communicated and available… more
- Parexel (Albany, NY)
- …are expanding our esteemed Medical Sciences Team and seeking an Associate/Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the...does not include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts… more
- Ankura (Lexington, NY)
- …to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes & ... matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide business development activities and… more
- CenterWell (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The ... Medical Director , Primary Care work assignments involve moderately...care , quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The ... Health Medical Director will attend and participate in meetings involving care management, provider relations, quality of care , audit, grievance and appeal… more
- Humana (Albany, NY)
- … management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external ... to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- St. Catherine's Center for Children (Albany, NY)
- …admissions, the children's transitions from one program to another, and continuum of care for least restrictive environment and/or return home to permanent ... DIRECTOR OF DAY TREATMENT, CLINICAL SERVICES Purpose: This...that treatment planning is focused on return to permanent home or to least restrictive setting as soon as… more
- Humana (Albany, NY)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- CVS Health (Albany, NY)
- …and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at- home position located anywhere in the US. The ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...to its membership. Aetna is looking for a medical director to be part of a centralized team that… more
- Evolent (Albany, NY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Associate Director , HEDIS Operations of Non-Standard Supplemental for business operations supports all ... of configuration control, data management, and deficiency reporting. The Associate Director , Data Management requires a solid understanding of how organization… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products… more
- New York State Civil Service (Albany, NY)
- …Rehabilitation, The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc. Duties:* Collaborating with the Director of EISG ... No Agency Attorney General, Office of the Title Deputy Director of EISG: Position for Expr. IT Manager(6406) Occupational...and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and… more
- Evolent (Albany, NY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...**What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the… more
- Evolent (Albany, NY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the… more
- Evolent (Albany, NY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...+ On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall… more
