cablevision Jobs

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RightFax Coordinator

Healthfirst - Telecommuter

Responsibilities: Ensures that all faxes received electronically are logged correctly and contain complete member/provider information, medical records and PHI (Personal Health Information) . Distributes information and files to appropriate personnel. Qualifications: Minimum Qualifications: High school diploma or GED. Admini...

Application Deadline: None

Education Manager, Medical Management

Healthfirst - Telecommuter

Responsibilities: Oversees the training of new hire staff related to the provision of the basic departmental functions which include: pre-certification, concurrent review, discharge planning, case management, disease management, appeals processing and referrals, Healthfirst and SHP standards and the rules/regulations set forth by the Company, the Department of Health and state and fed...

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

Manager of Care Management, Complete Care

Healthfirst - Telecommuter

Responsibilities: Oversees the provision of Medical Management functions which include: pre-certification, concurrent review, discharge planning, case management, disease management and referrals Trains new staff and provides ongoing training as necessary. Maintains staff productivity, effectiveness and efficiency. Develops key indicators for staff; audits staff ...

Application Deadline: None

Nurse Care Manager - SHP

Healthfirst - Telecommuter

Responsibilities: Maintains ongoing telephonic communication with members and their caregivers to ensure a safe and appropriate care plan. Member family education re: health management and community resources. Appropriately manages member care including but not limited to; coordination of benefits (Medicare Medicaid), coordinating monitoring all skilled services,...

Application Deadline: None

Social Worker -SHP

Healthfirst - Telecommuter

Responsibilities: Uses all available resources to assess members' psychosocial health status and social work needs; this includes making field home visits as needed in order to complete a psychosocial assessment for all new members within the first 30 days of enrollment. Determines member and family needs to develop a comprehensive care plan for each member based on counsel...

Application Deadline: None