cablevision Jobs

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RightFax Coordinator

Healthfirst - Telecommuter

Responsibilities: Duties 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:

Application Deadline: None

Supervisor Utilization Management

Healthfirst - Telecommuter

Responsibilities: Oversees the provision of Utilization Management functions which include: Pre-Certification, Concurrent Review, as well as Discharge Planning for Admissions and Outpatient Services. Continuously evaluates work-flow issues while seeking to improve processes that impact the Department. Supervises, analyzes and coordinates the daily activities of the unit to ...

Application Deadline: None

Education Manager

Healthfirst - Telecommuter

Responsibilities: Oversees the training of newly hired 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...

Application Deadline: None

Intake Supervisor - Medical Management

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Supervises the timeliness of staff and even distribution of work. Insuresthe Intake Coordinators comply with all regulatory mandates as well as adhere to the policies and procedures set forth by the department and Federal/State agencies. Reviews work of Intake Coordinatorsdaily guaranteeingcas...

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

Support Coordinator, Complete Care SHP Care Management

Healthfirst - Telecommuter

Responsibilities: Communicate with service providers regarding authorizations including, but not limited to, outreach calls and mailings to members and providers, telephonic calls to community-based organizations, calling providers with the pre-certification number, entering cases in CCMS (CareEnhance Clinical Management Software), education material mailings, benefit questions and is...

Application Deadline: None

Nurse Care Manager, Complete Care

Healthfirst - Telecommuter

Responsibilities: Contributes to the development of patient-focused care and initiates the process in accordance with established guidelines. Conducts assessments, develops treatment plans, performs defined interventions, and generates referrals to providers, community-based resources and appropriate social services. Assesses member's physical, psychosocial and d...

Application Deadline: None

Nurse Care Manager

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

Service Coordinator - Spanish

Healthfirst - Telecommuter

Responsibilities: Scheduling member non emergent medical transportation. Bilingual Spanish and English. Provide feedback regarding transportation services to Service Coordinator Supervisor. Handle incoming telephone calls and answer questions for callers to support the efficient operation of the Care Management Team. Provid...

Application Deadline: None

Nurse Care Manager Welcome Team

Healthfirst - New York, NY

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