Managed Care Jobs in Rockland County

DUTIES: The Revenue Analyst II is a technical expert with strong analytical experience in a healthcare environment with emphasis in managed care and government reimbursement. This role serves as a nancial resource for both clinical and administrative areas and will act as More...

Position Overview Under the direction of the Director of Medicaid the Medicaid Care Manager Team Lead ensures that staff adhere to the Medicaid contractual requirements policies and procedures and workflows established to manage the vulnerable Medicaid population. The Medicaid Care M More...

Key Responsibilities: * File Transfer Management: * Oversee the endtoend file transfer process including planning scheduling and execution. * Configure and maintain file transfer protocols and standards to ensure secure and efficient data transmission. * Collaborate with crossfunct More...

PRIMARY PURPOSE: To develop and manage project assignments through completion; to communicate results; to make recommendations to management; and to provide training. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identifies required resources; researches project data procedures and histo More...

Job Details: Assists in the holistic assessment planning arranging coordinating monitoring evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning More...

Position Overview: Examines and assesses clients finance numbers and situations and helps clients reduce and eliminate their debt through a debt management program and plan and save for retirement. Gathers clients budget information financial obligations and goals. Detects and analyze More...

Hello All I hope youre doing well. Job: DHHS MES IT Product Manager (735711) Location : 100% Remote Client : State of NC Type: C2C/W2 NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks an IT Product Manager to join the Medicaid More...

Job Description: Job Title: Program Specialist (Social Worker) 1 Location: Remote in TX Pay Rate: XX25.00 Per hr. Duration: 6 Months (Possible Extension) Shift: 8AM 5PM (MonFri) (CST) Job Summary: Conduct screening and risk assessment interventions per program guidelines. More...

Title Care Manager I (RN) Duration 6 months Shift Mon to Fri 8 am to 5 pm Location Remote KS Walk me through the daytoday responsibilities of this the role and a description of the project : Check email and voice mail for important communication and member needs. Communicate with More...

DUTIES: Responsible for researching and resolving all unpaid insurance claims and following up on all customer inquiries/complaints related to unpaid balances. Other duties as assigned. Answers patient calls and researches and responds to patient concerns within 24 work More...

Skills: The following experience is required: 2 years of med/surg experience. Wound and Colostomy experience. Certification/Licenses: RN License AHA BLS Schedule Notes: Five shifts per week with every other weekend including 1 hour lunch break RTO is not approved for any majo More...

Duties: Primary functions of the Registered Nurse are to administer skilled nursing care for clients of all ages in their place of residence coordinate care with the interdisciplinary team patient/family and referring agency and assume the responsibility for coordination of care. Esse More...

Skills: Two years of previous acute care experience in MedSurg Maternal and child care Critical Care Pediatrics. Current Maternal Child home health experience Certifications/License: RN License AHA BLS Schedule Notes: Bronx Up to 40 hours a week depending on patient home visit More...

Job Description: Duties: Essential Functions Collects data pertinent to the healthcare consumers health or the situation. Analyzes the assessment data to determine actual or potential diagnoses problems and issues. Identifies expected outcomes for a plan individualized to the health More...

Education:Graduated from accredited school of nursing; BSN preferredBLS requiredLicensure/Certification:Additional Requirements based upon department:Acute Care: PALS within (2) two years of hire; ACLS and CMSN preferredCurrent applicable OR RN license requiredExperience:Six months nu More...

Job Description: Shift Times 11 pm to 7 am Job Duration: 13 weeks Guaranteed Hours per week: 40 Requirements: Job Summary: The Patient Care Technician is responsible for assisting registered professional nurses in the care of the patient. He/she performs all of the essential generi More...

Seasoned Recruitment is currently seeking a Board Certified Primary Care Physician with experience in Internal Medicine Family Medicine or Geriatrics to join our team. As a Primary Care Physician you will be responsible for providing excellent care to patients in an outpatient clinica More...

RN WOUND CAREJoin our Outpatient Nursing Services (OPNS) team at Moab Regional Hospital! Rural nursing at its finest!You are passionate about consistent care and learning new things every day. Due to the rural location of MRH this position works closely with a small group of patient More...

RN WOUND CAREJoin our Outpatient Nursing Services (OPNS) team at Moab Regional Hospital! Rural nursing at its finest!You are passionate about consistent care and learning new things every day. Due to the rural location of MRH this position works closely with a small group of patient More...

Duration: 13 weeks Shift: 9:00 AM5:00 PM Skills: Two years of previous acute care experience in MedSurg Maternal and child care Critical Care and Pediatrics. Current Adult Care home health experience Education: Required: New York State RN License Primary Source Verification A More...