As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the members health needs while promoting quality cost effective outcomes.
Longitudinal Care Manager The Longitudinal Care Manager provides ongoing care coordination and management for patients over time, ensuring continuity of care, optimal health outcomes, and appropriate utilization of services. This role supports patients across the continuum
Care Management Nurse Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members health care needs, identifying gaps in care and needed support, administering/coordinating implementation
Title: Registered Nurse- Triage (Internal Medicine - hybrid) Location: Midtown Org Unit: Clinical Operations Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $113,600.00 - $130,700.00 *As required under NYC Human Rights Law Int
Hi, were Oscar Medical Group. Were hiring fluent Spanish speaking Nurse Practitioners and Physician Assistants to join our remote Virtual Health Assessment team in a part time capacity. At Oscar Medical Group, we are refactoring healthcare.
Clinical Sales Specialist (MDS / Post-Acute) Location: NYC (Hybrid) Our Company Anthuria is transforming senior living with AI. Our platform leverages large language models to turn dense clinical documents into clear, actionable insights—improving patient care, reimbursement,
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative
CRA I - Sponsor Dedicated - Neurology / Oncology (Home-Based in Buffalo, NY) Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial
Position Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. Duties and Responsibilities: Ensures that appeals and grievances are
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients.Our science and risk-based compliant quality culture is innovative andcustomer
Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid. The Clinical Revenue Auditor for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative
Care Management Nurse Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members health care needs, identifying gaps in care and needed support, administering/coordinating implementation
Clinical Position at EmblemHealth Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. Ensure accurate administration of benefits, execution of clinical policy and timely access to appropriate levels of care. Principal Accountabilities:
White Glove Placement New York - Are you an experienced Registered Nurse with a background in home health who enjoys working independently and making a meaningful impact in the community? This long-term opportunity as a Home
White Glove Placement New York - Are you an experienced Registered Nurse with a background in home health who enjoys working independently and making a meaningful impact in the community? This long-term opportunity as a Home
White Glove Placement New York - Are you an experienced Registered Nurse with a background in home health who enjoys working independently and making a meaningful impact in the community? This long-term opportunity as a Home