cablevision Jobs

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Operations Analyst

Healthfirst - Telecommuter

Responsibilities: Medical Management liaison with Information Services to ensure that all Medical Management/Appeals Grievances technical issues are handled timely and appropriately. Supports, troubleshoots, maintains, assists with installations and performs testing activities on various software, computer equipment, peripherals, data communication and computer network systems. Provid...

Application Deadline: None

Service Coordinator

Healthfirst - Telecommuter

Responsibilities: Supporting CMT in the coordination of all covered services. Arranging and Initiates home care/health services as approved by Care Management Team (CMT). Documenting appropriately in electronic medical record as outlined in policies/procedures and job aids. Managing provision of aides to members and following up with vendors and members regarding...

Application Deadline: None

Registered Nurse, Medical Management - Regulatory

Healthfirst - Telecommuter

Responsibilities: Meets with Regulatory to organize pre-survey deliverables and conducts pre-survey reviews of materials. Interacts with and represents the Medical Management department and external auditors. Responds to auditor requests and audits outcome results. Prepares and coordinates on-site and electronic audits conducted by external regulatory entities. Coordinates ...

Application Deadline: None

Care Manager, Utilization Management (8:30 am - 5:30 pm)

Healthfirst - Telecommuter

Responsibilities: Evaluates and pre-authorizes request for inpatient/outpatient, specialty care, home care, Durable Medical Equipment (DME), outpatient rehab and transportation services from network and out-of-network providers in accordance with departmental guidelines. Identifies opportunities for and facilitates member redirection to participating providers instead of ou...

Application Deadline: None

Care Coordinator -Chinese Language Mandarin or Cantonese

Healthfirst - Telecommuter

Responsibilities: For Call Center-Receive Incoming calls from members regarding benefit questions/issues, care coordination, inquiries about program, provision of educational materials, connecting to their care manager, and screening assessments to identify risk factors requiring case management intervention. Confirmation and documentation of accurate Members demographic information a...

Application Deadline: None

Care Manager, Utilization Management (11am-8:00pm)

Healthfirst - Telecommuter

Responsibilities: Evaluates and pre-authorizes request for inpatient/outpatient, specialty care, home care, Durable Medical Equipment (DME), outpatient rehab and transportation services from network and out-of-network providers in accordance with departmental guidelines. Identifies opportunities for and facilitates member redirection to participating providers instead of ou...

Application Deadline: None