Hello, we’re Belong. We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health
Position Summary The Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for
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
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
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
Job Title Provides support for clinical member services review assessment processes. Job Summary Verifies that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through
About Lantern Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nations top specialists for surgery, cancer care, infusions
Hi, were Oscar Medical Group. Were hiring Nurse Practitioners and Physician Assistants to join our Virtual Health Assessment team. At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve
Title: Nurse Practitioner - General GI Location: Upper East Side; Lower East Side Org Unit: General Gastroenterology Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $145,800.00 - $156,600.00 *As required under NYC Human Rights
In this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation,
The Manager of Utilization Management provides daily oversight for Case Management teams (which includes RN’s, Social Workers, and Coordinators). The Manager of Utilization Management is responsible for ensuring high quality, cost-effective, and appropriate allocation of member services,
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G
Job SummaryThis is an excellent opportunity to blend your Operating Room experience with your informatics or data analysis education/experience. This will be located onsite in the Bronx. Job Description Identify and support field sales efforts with
Why Wellthy is for you! At Wellthy, we dream of a world where everyone has the care infrastructure they need to manage their own health and the health and well-being of their loved ones. We’re building
Why Work For Person Centered Services? When you join the Person Centered Services team, you can make a difference in the lives of people with intellectual and developmental disabilities, while also reaching your own career goals.
We are constantly looking to add to our core talent. If you are seeking a career that is challenging and rewarding, a work environment that is diverse and dynamic, look no further — Haemonetics is your
Who is Parsley Health? Parsley Health is the largest functional healthcare company in the U.S., founded by Dr. Robin Berzin, a Columbia-trained physician who saw the limits of conventional care firsthand and chose to build something
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
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective