Managed Care Jobs in Bronx
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Search Results - Managed Care Jobs in Bronx
RCM Healthcare Services-Bronx
with other department heads to utilize objective information from the clinical documentation to drive the highest quality of care.
• Leads the strategic planning development related to Medicare/ Medicaid reimbursement and Managed Care Case Management...
Urban Health Plan, Inc-Bronx
with board certification/eligibility in a primary care discipline (e.g., Pediatrics, Family Practice, and Medicine/Pediatrics), valid unrestricted state license, valid unrestricted DEA certification, familiarity with managed care protocols, PCMH requirements...
smartsearchonline.com -
VNS Health-Bronx
to foster behavioral changes.
• Develops inventory of resources that meet the clients/members needs as identified in the assessment.
• Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans...
Urban Health Plan, Inc-Bronx
between now and throughout 2026.
Typical Responsibilities: Greet and assist patients in a professional and friendly manner.
Schedule appointments and reschedule no shows appointments
Verify insurance information through managed care website.
Register...
smartsearchonline.com -
Bronx
Network (SCN) programs, or similar systems-navigation work.
▪ Knowledge of Medicaid, Medicare, Essential Plan, QHPs, managed care, and health insurance processes.
▪ Familiarity with MAGI vs. non-MAGI eligibility, Medicaid spenddown, and APTC...
icims.com -
Urban Health Plan, Inc-Bronx
procedures.
Key Duties:-Greets patients and identified their needs.-Verifies insurance information through managed care website.-Answers incoming calls and takes messages for providers.-Registers patients, assigned PCP (when applicable), checks...
smartsearchonline.com -
Bronx
relationship to the Chief Administrative Officer. The Director serves as the administrative bridge between behavioral health, primary care, and external stakeholders — including state agencies, managed care organizations, and community partners...
icims.com -
Adecco-Bronx
Oversight: Review consumer health referral forms and documentation for accuracy; transmit data into electronic forms promptly.
• Community Impact: Facilitate enrollment into managed care health plans to ensure patients receive the support they need...
adecco.com -
Urban Health Plan, Inc-Bronx
environment. -Team player Key Duties: -Greeting patients and identifying their needs.-Verifies insurance information through managed care website.-Answers incoming calls and takes messages for providers.-Register patients, checks demographics, assign PCP...
smartsearchonline.com -
Bronx
preferred in business, healthcare administration, public health, nonprofit management, or related field.
• Experience in account management, business development, or partner management – preferably within healthcare, managed care, or mission-driven...
icims.com -
Bronx
and managed care plans.
• Facilitates periodic case record reviews and case conferences with all providers serving the clients/members.
• Provides information and assistance through advocacy and education to clients/members and family on availability...
vnshealth.org -
Urban Health Plan, Inc-Bronx
in a fast-paced environment.
Key Duties:Greets patients and identified their needs.Verifies insurance information through managed care website.Answers incoming calls and takes messages for providers.Registers patients, assigned PCP (when applicable...
smartsearchonline.com -
Bronx
submission through NYS eMedNY, MAPP HHTS, and Managed Care Organization (MCO) portals.
Compliance & Auditing
• Maintain compliance with NYSDOH Health Home guidelines, including Health Home Plus (HH+) criteria, community-based mental health assessments...
icims.com -
Bronx
Adaptable and comfortable working both in the field and in-office
Preferred Experience
• Experience working with Medicaid and managed care experience
• Familiarity with Social Determinants of Health (SDOH) and Social Care Network (SCN) programs...
icims.com -
Bronx
and outcome measurements that will improve the provision of services and operational efficiency systemwide.
• Maintain a working knowledge of managed care systems, reimbursement methodologies, cost reduction strategies and industry standards, which effectively...
icims.com -
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