for the Medicare line of business. Ensure adherence to CMS regulations, the Medicare Model of Care, and internal care... coordination models in managed care environments. Licensure Active and unencumbered RN license in the state of New York...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
. managed care nurse, managed care rn, nursing, rn, nurse, care management Qualifications Associate’s Degree in Nursing... for experienced candidates BSN for new graduates NYS RN license required CCM preferred 1 year of RN experience in managed care...
meet the member's needs. managed care nurse, managed care rn, nursing, rn, nurse, care management Qualifications... required Mandarin, Cantonese and Bengali preferred CCM preferred 1 year of RN experience in managed care, home care, acute care...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
MDS Manager (RN) New York, USA 85000-100000 Other Compensation $5,000 sign-on bonus Job Description MDS... Manager (RN) Location: Watertown, New York Schedule: Full-time, Day shift Compensation: $85K-$100K per year+ $5,000 sign...
(RN) licensure in the state of NY* The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP... benefits and community resources. Meets regulatory requirements within specified timelines. The Care Manager RN supports...
more about , and interact with us on and . Position Summary: We have an exciting opportunity to join our team as a Case Manager RN... criteria and Medicare benchmarks. Ensures that the team is actively working towards transition to the next level of care...
RN Field Case Manager HealthCare Support is actively seeking an RN Field Case Manager to fill an opening... with a prestigious Healthcare Organization in Bronx, NY. Daily Responsibilities for RN Field Case Manager: Ensure accurate...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists...Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete...
collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists...Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete...
for the Medicare line of business. Ensure adherence to CMS regulations, the Medicare Model of Care, and internal care... coordination models in managed care environments. Licensure Active and unencumbered RN license in the state of New York is required....
Guidelines as well as departmental criteria and guidelines. Works collaboratively with other disciplines including Care Manager...The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare...
to the fullest extent possible. Our care is offered through a number of Medicaid and Medicare managed care plans, and through.... Familiarity with NYS Managed Long Term Care (MLTC) and Medicaid/Medicare plans will enhance your candidacy. Proficiency in the...
to the fullest extent possible. Our care is offered through a number of Medicaid and Medicare managed care plans, and through.... Familiarity with NYS Managed Long Term Care (MLTC) and Medicaid/Medicare plans will enhance your candidacy. Proficiency in the...