- Lundbeck (Queens, NY)
- …and transform lives. Join us on our journey of growth!As a Neuroscience Account Manager , this is an incredible opportunity to join the growing promotion of our CNS ... portfolio to primary care and specialties including Psychiatrist, Neurologist, and Institutional Accounts such as Skilled Nursing Facilities.You will drive demand… more
- A-Line Staffing Solutions (New York, NY)
- …Pay Rate Keywords: UAS, MLTC, URAC, CCM, BSN, ADN, ASN, Case Manager , Case Management, InterQual, Medicare, Medicaid , CMS Guidelines, Utilization Review, ... Nurse openings with a major health insurance / managed care company based in the Bronx, Manhattan, and Brooklyn...Calls, Outbound Calls, URAC, CCM, BSN, ADN, ASN, Case Manager , Case Management, InterQual, Medicare, Medicaid , CMS… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... hear from you. Essential Functions Revenue Management Systems (Contracting, Medicaid , Govt. Pricing, Chargebacks) Technologies Leadership Drive definition of future… more
- Family and Children's Association (Mineola, NY)
- Non- Medicaid Care Manager The Opportunity The Care Manager will provide support, linkage, and coordination of services to children and youth ages 5 ... contacts a month + Complete and submit all assessments, care plans, progress notes and any other written work...using a strength- based and family driven approach. + Non- Medicaid only: Assist families with the C-YES process when… more
- Family and Children's Association (Mineola, NY)
- Medicaid Care Manager The Opportunity The Care Manager will provide support, linkage, and coordination of services to children and youth ages 5 to 21 ... case management services + Complete and submit all assessments, care plans, progress notes and any other written work...team meetings with providers and the family to maximize care . + Participate in all mandatory trainings and any… more
- CVS Health (New York, NY)
- …personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... working in a highly matrixed environment. **Preferred Qualifications** + Experience in Medicaid Risk-based arrangements and Value-Based care + Proven negotiation… more
- City of New York (New York, NY)
- …EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long ... Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility… more
- Aston Carter (Parsippany, NJ)
- …6 Month(s). Work Environment The rebates team is made up of the Director of Medicaid , a manager , and several team members. About Aston Carter: Aston Carter ... Job Title: Medicaid Claims Analyst Job Description The Medicaid... analyzes and documentation on assigned states/programs. Communicate to manager for key findings and changes to state programs.… more
- City of New York (New York, NY)
- …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... coverage provided to access doctors, medication and other health care services at little or no cost. The Medical...for one (1) Eligibility Specialist II to function as Medicaid Eligibility Specialist, in MAP's CREP unit, who will:… more
- Independence Care System (Brooklyn, NY)
- …expertise respected. As part of the Care Management team, the Nurse Care Manager collaborates with members to build a Person-Centered Service Plan (PCSP) ... Let us share why you should consider joining the team of nurses at Independence Care System! . Our nurses are passionate about their work and have the freedom and… more
- Independence Care System (New York, NY)
- …your expertise respected. As part of the Care Management team, the Nurse Care Manager collaborates with members to build a Person Centered Service Plan ... Let us share why you should consider joining the team of nurses at Independence Care System! . Our nurses are passionate about their work and have the freedom and… more
- Independence Care System (Brooklyn, NY)
- …expertise respected. As part of the Care Management team, the Nurse Care Manager collaborates with members to build a Person-Centered Service Plan (PCSP) ... Let us share why you should consider joining the team of nurses at Independence Care System! . Our nurses are passionate about their work and have the freedom and… more
- Rising Ground (Bronx, NY)
- …member's needs are addressed in a comprehensive manner. This is done primarily through a " care manager " who oversees and provides access to all of the services ... to prevent hospitalizations, stay healthy, and maintain stability. The Care Manager is ultimately responsible for the...obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance… more
- AristaCare (Cranford, NJ)
- …should have at least a few years of experience as a SNF Business Office Manager with thorough knowledge of the Medicaid process. Purpose of Your Job Position ... procedures related to billing and accounts receivable, census processing and Medicaid applications. The Business Office Manager processes facility information… more
- City of New York (New York, NY)
- … Care Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care services. MCP is comprised ... Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of...as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the… more
- Zufall Health Center (West Orange, NJ)
- …patients and their families in accessing appropriate clinical and social services. The Prenatal Case Manager is a key member of the Care Team and focuses on ... Prenatal Case Manager West Orange, NJ 07052, USA Req #10924...and agencies + Assists patients with applications to charity care at Clara Maas Medical Center, Emergency Medicaid… more
- Elevance Health (Iselin, NJ)
- **Anticipated End Date:** 2024-12-06 **Position Title:** Social Work Case Manager Sr **Job Description:** The Social Work Case Manager Sr will be dedicated to ... Housing Services with all other services provided to NJ Medicaid members. This associate will work with the LTSS...the social work goals. + Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …+ Oversees vendors utilized for any specialty billing purposes, including out of state Medicaid , Charity Care & Medicaid , and Worker's Compensation and No ... and serve as a leader of positive change. The **Physician Enterprise/ Network Manager - Patient Accounts** is responsible for pre-billing and billing functions for… more
- City of New York (New York, NY)
- …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... coverage provided to access doctors, medication and other health care services at little or no cost. The Medical...Principal Administrative Associate III to function as a Section Manager who will, under the general direction of the… more
- Deloitte (New York, NY)
- …experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate development ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the… more
