Managed Care Pharmacist jobs in Passaic, 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 just now See detail

Managed Care Billing Specialist* New

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

Pix11

New York, NY

Works under general direction.Compensation:$23.17 - $28.96 Hourly Utilizes approved assessments to identify clients/members needs and develop initial and ongoing clinical plan of care. Works with clients/members, Peer Specialist,...

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...

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

Vns Health

New York, NY

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 and Disability . Employer-...

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...

Managed Care Analyst III

Teva Pharmaceuticals

Parsippany, NJ

Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify risks and compliance issues and present findings both verbally and in writing to key internal and exter...

Server/Dining Room Care Manager - Now Hiring

Sunrise Senior Living

Fairfield, NJ

MUST work Holidays and Weekends. Full Time and Part time positions Available....

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...

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...

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...

Before and After School Child Care Program Manager-Fort Lee, NJ

Right At School

Fort Lee, NJ

Deliver quality enrichment programs for children using our internally crafted Disguised Learning curriculum. Develop and coach a team who are passionate about providing a safe, fun, engaging environment. Work closely with princi...

Licensed Practical Nurse Care Manager / Case Management (LPN)

Amsterdam Nursing Home

New York, NY

Collecting required information from new Residents to be admitted. Recording health details of Residents; including vitals & temperature. Administering medications and injections to Residents as needed. Treating and dressing wound...

Manager Clinical Practice-Home Care-Infusion-Lodi, NJ-FT - Now Hiring

Hackensack Meridian Health

Fort Lee, NJ

Oversee the development and implementation of the physicians plan of treatment. Assure services are in compliance with physician orders. Assure plan of treatment is received within regulatory time frames and re-certifications ar...

LPN Med Care Manager Full-Time

Pix11

New York, NY

Provides the highest degree of quality care and services by administering medication and treatments in a safe organized manner. Reviews, reads, notates, and initializes Daily Log to document and learn about pertinent information a...

Nurse Practitioner / Primary Care / Pain Management

Greenlife Healthcare Staffing

New York, NY

Must have an active State License. Must be Board Certified. 2 years experience is preferred but New graduates are welcome to apply. Bilingual Spanish preferred but not required. The salary range for this position is $130,000-$150,...

Med Care Manager

Sunrise Senior Living

New York, NY

Provides the highest degree of quality care and services by administering medication and treatments in a safe organized manner. Reviews, reads, notates, and initializes Daily Log to document and learn about pertinent information a...

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...

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 General Counsel - Managed Care Reimbursement

Prime Healthcare Management Inc

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

Assistant General Counsel - Managed Care Reimbursement

Prime Healthcare

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

Health Home Care Manager

Community Health Action Of Staten

New York, NY

Utilizes approved Health Home clinical tools and technology to prepare initial and ongoing clinical and psychosocial assessments of service needs of identified clients. Confirms acuity level of identified client and tailors care p...

Health Home Care Manager

Community Health Action Of Staten Island

New York, NY

Utilizes approved Health Home clinical tools and technology to prepare initial and ongoing clinical and psychosocial assessments of service needs of identified clients. Confirms acuity level of identified client and tailors care p...

Assistant Manager, Rehabilitation - Outpatient Ambulatory Care

Pix11

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...

Behavioral Health Care Manager (LMSW, LCSW)

Metroplushealth

New York, NY

Up to $83,000 a year

401(k). Dental insurance. Flexible schedule. Health insurance. Paid time off. Professional development assistance. Vision insurance. Geriatrics. Psychiatry. Monday to Friday. No weekends. Hybrid work. New York, NY 10004: Relocate...

Care Manager LMSW/LCSW

Nyc Health + Hospitals

New York, NY

Act as a preceptor for new hires within the ICM team. Provide guidance to new hires or junior team members Care Manager Level II is expected to give a presentation on an annual basis based on research or studies that either suppor...

Director of Claims Quality - Managed Care

Tandym

Jersey City, NJ

Managing provider reimbursement and analytics, Claims Quality analysts, claims compliance, training and remediation and user acceptance testing (UAT). Overseeing staffing and implementing and maintaining policies, procedures, and...

LPN Patient Care Manager Assistant

Lhc Group

Parsippany, NJ

Current CPR certification required. Current LPN licensure in state of practice. Current Drivers License, vehicle insurance, and access to a dependable vehicle or public transportation....

Senior Vendor Manager, Health and Personal Care, Consumables

York State Department Of Labor

New York, NY

5+ years of account management, project or program management or buying experience. Bachelor's degree. Experience driving internal cross-team collaboration. Experience using data to influence business decisions. Experience with bu...