- Molina Healthcare (New York, NY)
- …* Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages ... more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... more
- Molina Healthcare (New York, NY)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... more
- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our grievance ... more
- WTW (Fort Lee, NJ)
- …and stay current on payroll systems, regulations, and labor laws impacting the payroll process * Identify process improvement opportunities and lead payroll ... more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager Patient Services Hub Operations Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59321 ... more
- BronxCare Health System (Bronx, NY)
- Overview The Case Manager will coordinate care using a collaborative approach with the multidisciplinary team in identifying the required services needed to meet an ... more
- Molina Healthcare (New York, NY)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... more
- Molina Healthcare (New York, NY)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... more
- City of New York (New York, NY)
- …for one (1) Principal Administrative Associate III to function as a Section Manager who will, under the general direction of the Excess Income/Surplus Director, with ... more
- Unilever (Englewood Cliffs, NJ)
- …Work with Factory Leadership to develop a targeted onsite health improvement strategy for their specific location through health/ prevention/and personalized ... more
- VNS Health (Manhattan, NY)
- …that all policies and guidelines are adhered to. + Develops and implements process improvement plans. Qualifications Licenses and Certifications: + License and ... more
- Hackensack Meridian Health (Neptune, NJ)
- …deductive reasoning skills. + Recent hospital experience. + Knowledge of Pathophysiology and Disease Process . + Knowledge of Medicare Part A. + Familiar with ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …includes: + Performs data quality reviews on Inpatient Clinical Documentation Improvement (CDMP) records. + Validates the (International Classification of Diseases ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …volume denials, and presents the findings to the Revenue Cycle team. Communicates improvement opportunities and corrective actions based on findings. + Act as Team ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate patient status based on ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status based on ... more
- Allaire Rehab & Nursing (Freehold, NJ)
- …knowledge of managed care referral processes. + Identify and participate in process improvement initiatives that improve the customer experience, enhance ... more
- Mount Sinai Health System (Brooklyn, NY)
- …on a daily basis + Participates in system development and process improvement by providing feedback to Manager regarding issues in registration and change ... more
- VNS Health (Manhattan, NY)
- …to the facilities discharge planning staff to start the discharge planning process . Provides education to the discharge planning staff on the available benefits ... more