- 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
- Deloitte (Stamford, CT)
- …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
- Outreach Development Corporation (Brentwood, NY)
- …for optimal job performance. * Exercise due diligence in the delivery of quality care in line with agency Medicaid Compliance Plan and systems of accountability. ... F/T SOR Case Manager ; Brentwood, NY, US Salary range: $22 -...structure of any violation of non-compliance with the agency's Medicaid compliance plan and personnel policy and procedure. Outreach… more
- Deloitte (Stamford, CT)
- …role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist ... be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the...and present client presentations and reports + Conduct other Manager level health actuarial consulting activities, as required The… more
- Catholic Health Services (Port Jefferson, NY)
- Overview The Manager , Patient Access will be responsible for providing strategic direction and oversight to the SCH Patient Access organization. The role will ... admitting, insurance verification, cashiering, and on-site financial counseling. The Manager , Patient Access will monitor overall quality and performance metrics,… more
- Northwell Health (Bay Shore, NY)
- …+ * Determines and makes appropriate referrals concerning alternate level of care . + * Processes adverse determination decision to Physician Advisor and distributes ... notification, as appropriate. + * Identifies problematic care patterns or cases and make referrals to the...Acts as a liaison with patient's insurance carrier (case manager , utilization reviewer) to coordinate post hospital services and… more
- CVS Health (Bridgeport, CT)
- …participates in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
- Outreach Development Corporation (Brentwood, NY)
- …toxicology testing, as needed + Exercise due diligence in the delivery of quality care in line with agency Medicaid Compliance Plan and systems of ... Job Scope: + Conducts assessments, intakes and participates in level of care determinations by gathering appropriate data, orienting client to his/her rights and… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …in-house case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility ... govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical...MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic… more
- Catholic Health Services (Melville, NY)
- …and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network ... we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient,… more