the highest quality of care. Performs utilization review tasks for all insurance payers. Supports neighborhood staff in... preparation for audits or Department of Health Surveys. Qualifications: The successful candidates must have a valid NYS RN...
preferred A minimum of one year’s experience in Community Health, Managed Care, or related field Microsoft Word, Excel a UAS... Island, Queens, Manhattan, Brooklyn, Bronx, Westchester, Rockland, Duchess, Orange, Putnam, and Ulster counties. Health...
’s care and other support services Assist the member to access all necessary covered services as identified in the Person... to educate on care gaps (i.e. missing preventative health recommended screenings/testing/vaccinations) and collaborate with PCP...
of care for all. You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help... solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives...
and process all requests for elective services and durable medical equipment in accordance with the Center for Medicare... Advisors, Vendors, Providers, Member’s Primary Care Physicians, and other Specialists as necessary to ensure compliance...
organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse... of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social...
For more than 30 years, this health plan has been committed to building strong relationships with its members... or more years of experience in healthcare/managed care operations preferred Experience in being part of large cross functional...
Access Identity Theft Protection Legal Services Package Hospital/Accident/Critical Care Coverage Paid Time Off Diverse... and Purpose: The Credentialing Manager is responsible for administering credentialing and provider enrollment services...
community and taking care of our team — including offering a R1 RCM Inc. (“the Company”) is dedicated to the fundamentals... performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global...
reviews Competently delivers services via telehealth, when necessary Monitors practice EMR AND RCM accounts to ensure... ourselves on creating a care environment where our providers practice at the highest level. We offer flexible career options...