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Healthfirst Inc. —
New York, NY,
. The Case Manager, Utilization Management is also responsible for efficient utilization of health services ... /Responsibilities: Provides case management services for assigned member caseloads which includes: Pre ... to evaluate the appropriateness and medical necessity of treatments and service utilizations based
Reference no: 1067147
Posted on: 04/22/2021
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Healthfirst Inc. —
New York, NY,
coordination of the member's health care services. The Care Manager is assigned to a specific product line ... beneficiaries on services, self-management techniques, and health benefits. Conducts assessments ... referrals to providers, community-based resources, and appropriate services and other resources to assist
Reference no: 1067149
Posted on: 04/22/2021
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Healthfirst Inc. —
New York, NY,
within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied ... . Thank you for considering a career with Healthfirst Management Services. EEO Law Poster ... The Support Coordinator is responsible for assisting the care/case managers with non-clinical
Reference no: 1067150
Posted on: 04/22/2021
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Healthfirst Inc. —
New York, NY,
. The Case Manager, Utilization Management is also responsible for efficient utilization of health services ... case management services for assigned member caseloads which includes: o Pre-certification ... the appropriateness and medical necessity of treatments and service utilizations based on clinical documentation
Reference no: 1066603
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
coordination of the member's health care services. The Care Manager is assigned to a specific product line ... beneficiaries on services, self-management techniques, and health benefits. Conducts assessments ... referrals to providers, community-based resources, and appropriate services and other resources to assist
Reference no: 1066604
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone ... number supplied. Thank you for considering a career with Healthfirst Management Services. EEO Law ... The Quality Assurance Team Leader in Appeals and Grievances is responsible for managing
Reference no: 1066605
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied ... . Thank you for considering a career with Healthfirst Management Services. EEO Law Poster ... A vital role of the CMO Administration team, the Dental Peer Reviewer plays a critical role
Reference no: 1066606
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
. Collaborates with provider doctors, social workers, discharge planners, and community based service providers ... coordination of the member's health care services. The Care Manager plans and manages behavioral ... when engaging members and addressing coordination of the member's health care services. Adhere
Reference no: 1066977
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
, Commercial) and knowledge of Department of Health (DOH) and Local Department of Social Services ... The Clinical Service Auditor examines claims and service authorizations to determine and correct ... and service authorizations for completeness and accuracy. - Reviews different large sets of claims
Reference no: 1066984
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
, Commercial) and knowledge of Department of Health (DOH) and Local Department of Social Services ... and Center for Medicare &Medicaid Services(CMS) regulations pertaining to managed care; nursing experience ... Management Services will be reviewed at the e-mail address and phone number supplied. Thank you
Reference no: 1066985
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
of Department of Health (DOH) and Center for Medicare & Medicaid Services (CMS) regulations. Experience leading ... within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied ... . Thank you for considering a career with Healthfirst Management Services. EEO Law Poster
Reference no: 1066994
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
This position responsible for improving the quality of care and services provided to our members ... receive appropriate services. - Lead and/or participate in interactions with all assigned network ... groups about missing services lists. - Maintain medical records department contacts, and knowledge
Reference no: 1067012
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
rapport with Provider offices, strong communication and customer service skills. The CPT position ... of regulations of the Centers for Medicare and Medicaid Services including but not limited to National ... Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering
Reference no: 1067013
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
rapport with Provider offices, strong communication and customer service skills. The CPT position ... of regulations of the Centers for Medicare and Medicaid Services including but not limited to National ... Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering
Reference no: 1067014
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
. The Case Manager, Utilization Management is also responsible for efficient utilization of health services ... case management services for assigned member caseloads which includes: o Pre-certification ... the appropriateness and medical necessity of treatments and service utilizations based on clinical documentation
Reference no: 1067018
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
coordination of the member's health care services. The Care Manager is assigned to a specific product line ... beneficiaries on services, self-management techniques, and health benefits. Conducts assessments ... referrals to providers, community-based resources, and appropriate services and other resources to assist
Reference no: 1067019
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
of clinical and non-clinical services. A&G works in collaboration with divisions within and outside ... Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank ... you for considering a career with Healthfirst Management Services. EEO Law Poster and Supplement All
Reference no: 1067027
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
coordination of the member's health care services. The Care Manager is assigned to a specific product line ... beneficiaries on services, self-management techniques, and health benefits. Conducts assessments ... referrals to providers, community-based resources, and appropriate services and other resources to assist
Reference no: 1067032
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
coordination of the member's health care services. The Care Manager is assigned to a specific product line ... beneficiaries on services, self-management techniques, and health benefits. Conducts assessments ... to providers, community-based resources, and appropriate services and other resources to assist in goal
Reference no: 1067046
Posted on: 04/21/2021
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Healthfirst Inc. —
New York, NY,
This position is responsible for improving the quality of care and services provided to our members ... primarily works with Licensed Home Care Services Agencies (LHCSAs) in the Healthfirst Network ... | Ability to travel within the Healthfirst NY service area, including five (5) Boroughs, Nassau and Suffolk
Reference no: 1067048
Posted on: 04/21/2021