- EmblemHealth (New York, NY)
- Summary of Job Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face ... assessments of members' health care needs, identifying gaps in care and...compliant with all applicable federal and state regulations, and NCQA and company standards. Participate in delegation collaboration activities,… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager reports to ... Word, Office, Excel, and working in a database environment. * Familiarity with URAC/ NCQA standards, Milliman Care Guidelines (MCG) experience preferred. * Bonus:… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- … Care related field of study preferred + Master's degree in any Health Care related field of study preferred + NCQA PCMH Content Expert Certification ... evidence translation. PCPF's are specially trained individuals who work with primary care practices to make meaningful changes designed to improve patients outcomes.… more
