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730 Health Care jobs

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  • Licensed Practical Nurse LPN

    Cloverleaf Health Care Center — Knightsville, Indiana, United States
    9325 S Crawford St, Knightsville, IN 47857, USA Cloverleaf Health Care Center is seeking a Licensed ... is to administer nursing care in a nursing home environment, under the supervision of a registered nurse ... : Administer nursing care in a nursing home environment under the supervision of a registered nurse or other
    Reference no: 134648794 Posted on: 04/22/2021
  • Utilization Management RN/LPN

    Healthfirst Inc. — New York, NY,
    Department of Health (NYSDOH) regulations governing medical management in managed care Relevant clinical ... The Case Manager, Utilization Management coordinates the care plan for assigned members ... . The Case Manager, Utilization Management is also responsible for efficient utilization of health services
    Reference no: 1067147 Posted on: 04/22/2021
  • Solutions Architect/Sr.Mgr

    Healthfirst Inc. — New York, NY,
    This position manages the domain's intake process for its application portfolio and is accountable ... for delivering a subset of it. The portfolio manager is a liaison between the application domain ... and the business stakeholders and is responsible for prioritizing the demand of application domain
    Reference no: 1067148 Posted on: 04/22/2021
  • Utilization Management - Foster Care

    Healthfirst Inc. — New York, NY,
    and their beneficiaries and works with clinicians and health care team members. The Care Manager facilitates care ... coordination of the member's health care services. The Care Manager is assigned to a specific product line ... with the multi-disciplinary health care team as necessary in order to ensure care plan goals are achieved
    Reference no: 1067149 Posted on: 04/22/2021
  • Support Coordinator - Bilingual Spanish

    Healthfirst Inc. — New York, NY,
    and Individual Health Care Plans on behalf of the care/case managers. The Support Coordinator ... The Support Coordinator is responsible for assisting the care/case managers with non-clinical ... is assigned to a specific clinical team (such as Care Management, Utilization Management, Behavioral
    Reference no: 1067150 Posted on: 04/22/2021
  • Physical Therapist (Statewide)

    California Correctional Health Care Services — Not specified, California, United States
    of HMOs or Private Health Care Systems? At California Correctional Health Care Services (CCHCS) you ... of a multidisciplinary treatment team that provides you the freedom to focus on patient care without the burdens ... is a California State Department dedicated to providing quality medical, dental, and mental health
    Reference no: 420061 Posted on: 04/22/2021
  • Occupational Therapist (Statewide)

    California Correctional Health Care Services — Not specified, California, United States
    of HMOs or Private Health Care Systems? At California Correctional Health Care Services (CCHCS) you ... of a multidisciplinary treatment team that provides you the freedom to focus on patient care, without the burdens ... is a California State Department dedicated to providing quality medical, dental, and mental health
    Reference no: 420068 Posted on: 04/22/2021
  • Optometrist (statewide)

    California Correctional Health Care Services — Not specified, California, United States
    work-life balance? A career with California Correctional Health Care Services (CCHCS) allows you ... , dental, and mental health care in all 35 state-owned and operated adult correctional institutions ... to focus on providing quality care without the burdens of managing insurance paperwork or maintaining
    Reference no: 420066 Posted on: 04/22/2021
  • Case Manager - Foster Care

    Healthfirst Inc. — New York, NY,
    Department of Health (NYSDOH) regulations governing medical management in managed care Relevant clinical ... The Case Manager, Utilization Management coordinates the care plan for assigned members ... . The Case Manager, Utilization Management is also responsible for efficient utilization of health services
    Reference no: 1066603 Posted on: 04/21/2021
  • Utilization Management - Foster Care

    Healthfirst Inc. — New York, NY,
    and their beneficiaries and works with clinicians and health care team members. The Care Manager facilitates care ... coordination of the member's health care services. The Care Manager is assigned to a specific product line ... with the multi-disciplinary health care team as necessary in order to ensure care plan goals are achieved
    Reference no: 1066604 Posted on: 04/21/2021
  • Team Leader, A&G Quality Assurance

    Healthfirst Inc. — New York, NY,
    Knowledge of at least two or more lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus ... , Child Health Plus, NH Family Experience handling confidential information. Compliance & Regulatory ... The Quality Assurance Team Leader in Appeals and Grievances is responsible for managing
    Reference no: 1066605 Posted on: 04/21/2021
  • Dental Peer Reviewer - NY Licensed D.M.D ... . or D.D.S.

    Healthfirst Inc. — New York, NY,
    A vital role of the CMO Administration team, the Dental Peer Reviewer plays a critical role ... in consulting on medical necessity in the context of dental appeals and ensuring adherence to internal ... Healthfirst and external regulations. Work Schedule: 25 hours a week - work must be performed between
    Reference no: 1066606 Posted on: 04/21/2021
  • Pediatric Care Manager

    Healthfirst Inc. — New York, NY,
    and their beneficiaries and works with clinicians and health care team members. The Care Manager facilitates care ... coordination of the member's health care services. The Care Manager plans and manages behavioral ... and/or physical care with members and their beneficiaries and works with clinicians and health care team
    Reference no: 1066977 Posted on: 04/21/2021
  • Account Specialist -Bronx, Hudson, Orange ... , and Westchester County

    Healthfirst Inc. — New York, NY,
    (EP), Qualified Health Plan (QHP), Medicare or Complete Care. Customarily and regularly works away ... to educate potential members regarding the health benefits and care that is tailored for the member ... The Account Specialist is responsible for identifying prospective members who do not have health
    Reference no: 1066978 Posted on: 04/21/2021
  • Bilingual Marketing Specialist

    Healthfirst Inc. — New York, NY,
    Care Services Agencies (LHCSA), Certified Home Health Agency (CHHA), Naturally Occurring Retirement ... on the frail adult and their Managed Long|Term Care (MLTCP) / Medicaid Advantage Plus (MAP) needs ... the Company and their Partners highly visible as an option for long|term care delivery. This position
    Reference no: 1066979 Posted on: 04/21/2021
  • VP LTC Products

    Healthfirst Inc. — New York, NY,
    , actuarial, care and utilization management, claims, enrollment, marketing and other administrative ... , managed care, compliance, marketing/communications functions to ensure planning and execution ... and product management in the health plan industry Demonstrated management and leadership capabilities
    Reference no: 1066980 Posted on: 04/21/2021
  • Sr. Account Manager, Provider Complaints

    Healthfirst Inc. — New York, NY,
    Health providers Familiarity with reimbursement methodologies (DRG, FFS, Capitation, APG, APC ... ) Experience with resolution of reported provider complaints Managed Care operations experience working ... experience with Hospital, Physician, Ancillary and/or Behavioral Health providers Familiarity
    Reference no: 1066981 Posted on: 04/21/2021
  • Sr. Manager, Complaint Resolution

    Healthfirst Inc. — New York, NY,
    with Hospital, Physician, Ancillary and/or Behavioral Health providers Proven experience ... , APC) Managed Care operations experience working with various business partners to facilitate ... and/or Behavioral Health providers Proven experience with provider complaint resolution Familiarity
    Reference no: 1066982 Posted on: 04/21/2021
  • Sr. Complaint Analyst

    Healthfirst Inc. — New York, NY,
    / Provider Relations experience with Hospital, Physician, Ancillary and/or Behavioral Health providers ... cause analysis Managed Care operations experience working with various business partners to facilitate ... , Ancillary and/or Behavioral Health providers Familiarity with reimbursement methodologies (DRG, FFS
    Reference no: 1066983 Posted on: 04/21/2021
  • Clinical Service Auditor

    Healthfirst Inc. — New York, NY,
    to Care Management teams any inaccuracies found along with recommended solutions. - Communicates ... Health Information database (CCMS). - Documents any provider complaints and/or incidents upon ... such as medical records review; claims processing; managed care plan products (e.g. Medicaid, Medicare
    Reference no: 1066984 Posted on: 04/21/2021
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