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Manage Care Specialist jobs in New York, NY

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MANAGED CARE BILLING SPECIALIST*

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

CompanyThe New Jewish Home
AddressBronx, NY
CategoryInformation Technology
Salary$65,000 - $68,900 a year
Job typeFull-time
Date Posted a week ago See detail

Managed Care Billing Specialist*

The New Jewish Home

Bronx, NY

$65,000 - $68,900 a year

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

a week ago seen See more...

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...

a month ago seen See more...

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...

a month ago seen See more...

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...

a month ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

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

2 months ago seen See more...

Manager, Marketing Campaign Specialist - Hybrid

Capital One

New York, NY

Lead the well managed delivery of journey orchestration campaigns and initiatives. Partner with Marketing Strategy leads to design, streamline and optimize Salesforce Marketing Cloud (SFMC) journeys, including building and filteri...

3 days ago seen See more...

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...

5 days ago seen See more...

General Manager - Truck Care

York State Department Of Labor

New York, NY

Medical/Dental/Vision and Life Insurance Plans. Flexible Scheduling. Road to Success Program for career development. On-the-job training. Competitive Salary. Quarterly Bonus. Profit-Sharing. Holiday pay. 401(k) with matching contr...

2 weeks ago seen See more...

RN Care Coordinator, Utilization Management -Per diem - Days

Hackensack Meridian Health

Hackensack, NJ

$81.2K - $103K a year

BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position. Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills. Excellent...

3 days ago seen See more...

Sr. Specialist, SAP Role Management & Training (Hybrid - NJ or PA)

Merck

Rahway, NJ

Ownership of TRACE (Tools, Roles, Access, Communications) tool which is the system of record for the COMET global role design documentation and training curriculum. Responsibilities will include overall accountability for tool dat...

7 days ago seen See more...

Sr. Sample Management Specialist

Biospace

New York, NY

Responsible for the interpretation of clinical/non-clinical study protocols and associated study documentation as it pertains to biospecimen management. Independently executes study reference file creation by interpreting protocol...

4 weeks ago seen See more...

Clinical Care Manager RN - New York, United States - VNS Health

Vns Health

New York, NY

Attractive sign-on bonus and referral bonus opportunities. Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

Care Specialist Community Health Worker

Upward Health

New York, NY

Conduct direct outreach to patients via phone, in-person, mailings, and other strategies including cold calling and unscheduled door knocks. Enroll patients into Upward Health's program and collect key data about patients during t...

4 weeks ago seen See more...

Case Manager/Care Coordinator

Volunteers Of America Greater New York

New York, NY

life insurance, paid time off, retirement plan

The position requires a minimum of 60 college credits (BA preferred) plus two years of relevant work experience. . Familiarity with homelessness, mental health and/or substance abuse population required.. The position also require...

a month ago seen See more...

Wound Care Specialist New York

Pix11

New York, NY

LOCUMS WOUND CARE Specialist New YorkGuthrie Cortland Regional Medical Center - NY050Cortland, NYLong term ongoing needStart as soon as credentialing complete.This position is for a WOUND CARE specialist - the site will take any t...

a month ago seen See more...

Data Management Specialist

Amadan Recruitment

New York, NY

They are responsible to ensure adherence to all Enterprise Data Governance Framework practices, polices and standards within their domains. They are responsible for ensuring the required level of data consistency, quality, and pro...

a month ago seen See more...

Emergency Management Specialist

York State Department Of Labor

New York, NY

NOTE: Applicants wishing to receive credit for such experience must clearly indicate the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Volunteer work helps bu...

2 months ago seen See more...

CIB Control EBCE Senior Control Management Specialist

Wells Fargo

New York, NY

Execute control evaluations, in line with policy requirements, covering moderate to complex engagements. Provide thoughtful credible challenge to the business, identifying opportunities to strengthen the control environment. Desig...

2 months ago seen See more...

Regional Emergency Management Specialist

Hhs Careers

New York, NY

Managing all elements of the Region's emergency preparedness and response system including development of emergency plans and procedures for long-term. Implementing the Region's response during an emergency or disaster and assists...

2 months ago seen See more...

Inventory Management Specialist (EX)

York State Department Of Labor

New York, NY

Responsibilities Duties include, but may not be limited to the following: Inventory Management and Control: Responsible for the management and control of an assigned class of expendable material; serves as the point of contact for...

2 months ago seen See more...

Financial Analyst / Investment Risk Management Specialist / Education Consultant

Immi Consulting

Jersey City, NJ

$15 - $40 an hour

Conduct Market Research: Perform in-depth market research to identify trends, economic conditions, and influencing factors in the stock market. Analyze Stock Trends: Use quantitative and qualitative analysis to evaluate stock perf...

4 weeks ago seen See more...

Pharma Field Sales - Diabetes Care Specialist - Queens West New York

Biospace

Astoria, NY

Demonstrates competencies on a consistent basis with territory level impact. Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage R...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

Care Specialist Community Health Worker - Now Hiring

Upward Health

Bronx, NY

$21.00 to $23.00 per hour

Conduct direct outreach to patients via phone, in-person, mailings, and other strategies including cold calling and unscheduled door knocks. . Enroll patients into Upward Healths program and collect key data about patients during...

a month ago seen See more...

Care Manager - New York, United States - VNS Health

Vns Health

New York, NY

Referral bonus opportunities . Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability . Employer-m...

4 weeks ago seen See more...

Specialist, Pharmacy - (Ambulatory Care Services)

The Brookdale Hospital Medical Center

New York, NY

Promotes rational and cost-effective Inpatient and Outpatient drug therapy through close participation in the drug therapy decision-making process with assigned physicians and other medical personnel. Provides direction to Pharmac...

4 weeks ago seen See more...

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