Full-Time Care Manager jobs in Jersey City, NJ

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MANAGED CARE BILLING SPECIALIST*

Must be able to understand Managed Care contracts, create project spreadsheets forsubmission to payers, write reconsideration appeals and send to MCOs, and be able tocommunicate both internally and externally for resolution of c...

CompanyThe New Jewish Home
AddressNew York, NY
CategoryInformation Technology
Date Posted 2 days ago See detail

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

Must be able to understand Managed Care contracts, create project spreadsheets forsubmission to payers, write reconsideration appeals and send to MCOs, and be able tocommunicate both internally and externally for resolution of c...

Care Manager (PCS)

Metroplus Health Plan

New York, NY

United States, New York, New York

Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies...

Care Management Associate I

Metroplus Health Plan

New York, NY

United States, New York, New York

Receive service requests from providers and members via facsimile, provider portal, phone, and mail. Receive in-coming calls, address the caller's needs (providers and members) and/or offer clarification on questions or concerns a...

HARP Care Manager (with additional $10,000 field differential)

Metroplus Health Plan

New York, NY

United States, New York, New York

Clinically assess members for acute behavioral and physical health needs. Generating referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement. Conduct Utilizatio...

Remote Complex Care Manager - High Risk Maternity

Healthfirst

New York, NY

$55.6K - $70.4K a year

Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention, including addressing the social determinant...

Registered Nurse, Care Manager, Day Shift [on site position]

Nyu Langone Health

New York, NY

$111,899.99 - $119,000.00 per year

Identifies cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department. Identifies trends in care, processes or services that may provide opportunities for improvemen...

Care Management Specialist (Bilingual in English/Chinese)

Pix11

New York, NY

Responsibilities : Identify the targeted risk population per PCP referral, risk stratification, and patient listsHandle case management assignments, review case progress in accordance to center guidelinesCoordinate patient care th...

Care Management Specialist (Bilingual in English/Chinese)

Pix11

New York, NY

Responsibilities : Coordinate mental health treatment for pediatric and/or adult patients and their familiesAssist mental health clinicians in providing treatment and crisis interventionProvide on-going support and/or case managem...

MLTC Care Manager Team Lead

Pix11

New York, NY

Provides guidance to the CMs within the MLTC Department offering care management to members in several lines of business, particularly as it pertains to new processes and workflows. which support program operations. Oversees utili...

Care Management Supervisor

The Bridge Inc.

New York, NY

The Clinical Supervisor will supervise and oversee the day-to-day activities of the Care Coordination team. The Clinical Supervisor will be expected to utilize all electronic databases as required by the Health Homes in which the...

Palliative Care Nurse Practitioner Manager (NP)

Tandym Health

New York, NY

Manage a cohort of participants with complex care need including frailty, multiple chronic illnesses and end of life care. Review and include the most appropriate diagnosis codes, in addition to correct billing and procedure codes...

Care Manager

Nyu Langone Health

Brooklyn, NY

$30.45 - $34.30 per hour

Assess patients care management needs via patient intake assessments. Maintain caseload size established by the department and meet monthly core service productivity requirements. Performs other duties as assigned or volunteered i...

Health Navigator/Care Coordinator (Care Management Services) Non-BA

Acmh, Inc.

New York, NY

$45,855 a year

Develops rapport with clients in order to engage them in improving their health and wellness. Administers standardized health and psychosocial risk screenings according to Health Home protocols and timeframes. Utilizes health scre...

Manager, Customer Care North

Liberty Coca-Cola Bev Llc

New York, NY

Drive and execute on Libertys Cold Drink Strategy. Design and develop field support structure within the area of responsibility. Execute methodologies to prioritize service calls. Assign and manage area of responsibility. Develop...

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

Must be able to understand Managed Care contracts, create project spreadsheets forsubmission to payers, write reconsideration appeals and send to MCOs, and be able tocommunicate both internally and externally for resolution of c...

Pharmaceutical Sales - Associate Territory Manager - Primary Care

Biospace

New York, NY

Develops a strong understanding of territory and reimbursement landscape and utilizes appropriate business insights tools to analyze and adapt to business needs.. Systematically navigates the everchanging healthcare environment t...

Assistant Manager, Rehabilitation - Outpatient Ambulatory Care

Memorial Sloan Kettering Cancer Center

New York, NY

An engaging leader with a strong team and patient-centeRered focus.. Invested and effective in mentoring and fostering relationships and networks.. Experienced in clinical patient care utilizing an evidence-based approach.. Innova...

RN Care Manager - Senior Network Health

Mohawk Valley Health System

Brooklyn, NY

$30.00 - $38.92 per hour

Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services).. Completes comprehensive assessment using the DOH approved tool to determine eligibility of...