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OF POSITION Provide oversight and leadership for the creation and utilization of key performance indicators for clinical/business owners and senior executive management that continuously identifies opportunities for revenue and medical expense optimization for the organization. This includes focused review of various segmentations of healthcare data such as product and ser
Posted 1 day ago
Conceptualize, research, develop, implement, maintain, and enhance Contact Center related training programs/materials. Facilitate training classes to support the Contact Center provide technical, administrative, and other support as needed. Ensure that training covers critical Contact Center areas such as customer service skills; policies and procedures; new hire orientat
Posted 1 day ago
We are seeking a dynamic Expedited Appeals Specialist responsible for processing expedited appeals those that are complex, require multiple hand offs, and tend to have extremely tight deadlines. This individual will ensure accuracy and compliance within the constraints of extremely quick turnaround times. The Expedited Appeals Specialist will also perform end to end G&A p
Posted 1 day ago
Underwrite EmblemHealth's existing and new business accounts, including Broker Accounts within published time frames. Process sold new business groups. Maintain logs and complete various reports as needed. Responsibilities Underwrite new and existing large groups, within the published departmental time frames, and using the departmental and corporate guidelines, strategie
Posted 3 days ago
of Job Develop strategy in concert with key business stakeholders across EmblemHealth enterprise. Translate strategy into defined tactics, program priorities, and timelines, and ensure alignment and attainment of business unit strategic plans to turn strategy into reality. Build and leverage relationships to provide innovative solutions to complex business problems. Lead a
Posted 3 days ago
of Position Provide professional nursing care to patients and proactively support efforts to ensure that standards for patient satisfaction, patient safety, and quality of care are maintained, as established by AdvantageCare Physicians. Primary liaison between patients, staff and physicians and support the Advanced Care Model. Organize and provide clinical supervision to t
Posted 3 days ago
of Position Responsible for providing primary nursing care to patients, including assessment, treatment, care planning and medical care evaluation. Responsibilities Provide nursing care to patients, as appropriate, including, but not limited to wound care and medication administration. Verify patient's chief complaint. Take vital signs as requested. Review patient chart fo
Posted 3 days ago
of Position Under the direction of a physician, administer radiopharmaceuticals intravenously to detect diseases, using radioisotope equipment to produce high quality, diagnostically accurate images in a manner that is safe and effective for the patient. Principal Accountabilities Administer radiopharmaceuticals intravenously to detect diseases, using radioisotope equipmen
Posted 4 days ago
of Position Responsible for the overall management and education of care team members providing professional nursing care to patients. Proactively support efforts to ensure that standards for quality of care, patient satisfaction, and patient safety are maintained, as established by AdvantageCare Physicians including, best practices, regulatory requirements, and clinical w
Posted 5 days ago
of Position The Care Team Associate II serves as a member of the Care Team in the treatment and care of patients who assists providers with clinical services and administrative tasks to support population health guided best in class care. The position works under the supervision of the Practice Administrator and in collaboration with the Nurse Manager. The Care Team Associ
Posted 8 days ago
of Position The Care Team Associate II serves as a member of the Care Team in the treatment and care of patients who assists providers with clinical services and administrative tasks to support population health guided best in class care. The position works under the supervision of the Practice Administrator and in collaboration with the Nurse Manager. The Care Team Associ
Posted 8 days ago
of Position The Care Team Associate II serves as a member of the Care Team in the treatment and care of patients who assists providers with clinical services and administrative tasks to support population health guided best in class care. The position works under the supervision of the Practice Administrator and in collaboration with the Nurse Manager. The Care Team Associ
Posted 8 days ago
of Position Accountable for the overall management, supervision, and development of respective physician practice and ambulatory operations, while assuring the efficiency and stability of the clinical operations in all areas, inclusive of quality, access, and value. Hold team members accountable to standards of performance to achieve short tactical and long term strategic
Posted 8 days ago
of Position Provide day to day operational and managerial support and oversight of non clinical staff, assisting the Practice Administrator to ensure efficiency and stability of medical operations in all areas inclusive of quality, access, and value initiatives. Facilitate high quality medical office and access center collaboration, ensuring all access center to medical of
Posted 8 days ago
of Position Provide professional nursing care to patients and proactively support efforts to ensure that standards for patient satisfaction, patient safety, and quality of care are maintained, as established by AdvantageCare Physicians. Primary liaison between patients, staff and physicians and support the Advanced Care Model. Organize and provide clinical supervision to t
Posted 8 days ago
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