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Patient Care Director
1 week ago
Hospital for Special Surgery New York, United StatesOverview: · **How you move is why we're here. **** · **Now more than ever.** · Get back to what you need and love to do. · The possibilities are endless... · the abundant opportunities for growth and success. · If this describes you then let's talk · HSS is consistently among the ...
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Assistant Patient Care Director
1 week ago
Hospital for Special Surgery New York, United StatesOverview: · **How you move is why we're here. **** · **Now more than ever.** · Get back to what you need and love to do. · The possibilities are endless... · the abundant opportunities for growth and success. · If this describes you then let's talk · HSS is consistently among the ...
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Program Director-respite Care
1 week ago
Comunilife Inc New York, United StatesThe Senior Program Director will lead the overall operation of our medical Respite service programs, which includes management, planning, development, implementation, monitoring, evaluation of policies and implementing proper procedures for the program. The Senior Respite Directo ...
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Assistant Program Director, Connect to Care
1 week ago
Breaking Ground New York, United States**ABOUT US**: - We believe that everyone deserves a home · Breaking Ground operates nearly 4,000 units of housing across New York City, along with housing in upstate New York and Connecticut. Supportive housing - affordable housing paired with services designed to help people mai ...
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Director of Foster Care
6 hours ago
Heartshare Human Services Of New York Queens, United States**Job Summary** · HeartShare St. Vincent's Services (HSVS) is seeking a trauma informed Division Director for the Enhanced Family Foster Care (EFFC) program located in Queens. The Division Director is expected to provide oversight to over 80 Children & Youth delivering services t ...
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Resident Care Director Rn Upscale Community
1 week ago
A&E Healthcare Brooklyn, United States**Are you an RN with experience in Senior Living?** · **Are you passionate about providing the highest level of care to residents?** · - JOIN OUR TEAM We ARE ONE OF THE NATIONS LEADERS IN LUXURY SENIOR LIVING_ · A&E Healthcare has an **AMAZING opportunity for a Director of Reside ...
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Home Care Executive Director
1 week ago
Ethos Queens, United States**Home Care Executive Director** · **Position Description**: · Responsible for all service delivery for Greater NYC. Ensures excellent customer service. Reporting to Senior Management and contributing to the growth of the Region. · **Areas of Responsibility**: · - Overall respons ...
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Patient Care Director
2 weeks ago
New York Presbyterian Hospital New York, NY, United StatesLocationNew York, New YorkShift:Day (United States of America)Description:Leadership That Inspires Excellence:Where Amazing WorksPatient Care Director - RN - Medical ICU - DaysAt NewYork-Presbyterian, nursing is a life-changing career journey focused on amazing patient outcomes e ...
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Director of Care Management
2 weeks ago
NYC Health Hospitals New York, United StatesMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...
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Patient Care Director
21 hours ago
Hospital for Special Surgery New York, United StatesOverview · How you move is why we're here. Now more than ever. · Get back to what you need and love to do. · The possibilities are endless... · Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique wo ...
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Director of Care Management
1 week ago
Tandym Group New York, United StatesA hospital system in the lower Hudson Valley is currently seeing a Director of Case Management to join their organization. · About the opportunity: · Schedule: Monday to Friday · Hours: Standard business hours · Specialty: Case Management and Utilization Review · Setting: Acut ...
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Director of Resident Care
2 weeks ago
AlerisLife Newark, United StatesThe Opportunity · We are actively hiring for a Director of Resident Care to join our team in Newark DE. The Resident Care Director is responsible for coordinating resident care to ensure residents remain as independent as possible for as long as possible. The Resident Care Direct ...
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OR Patient Care Director
1 week ago
MRINetwork Jobs New York, United StatesJob Description · Job DescriptionTHE HEALTHCARE INITIATIVE · Where Talent Meets Opportunity · OR Patient Care Director · Tri-State Area · We are currently seeking an OR Patient Care Director who will be responsible for overseeing both the clinical and managerial aspects of our pa ...
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Patient Care Director
2 weeks ago
NewYork-Presbyterian Hospital New York, United StatesLocationNew York, New YorkShift:Day (United States of America)Description:Leadership That Inspires Excellence:Patient Care Director - RN- Inpatient Psychiatry At NewYork - Presbyterian Columbia now is an exciting time of growth and change, providing numerous opportunities to make ...
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Patient Care Director
2 weeks ago
NewYork-Presbyterian Hospital New York, United StatesLocation · New York, New York · Shift: · Day (United States of America) · Description: · Leadership That Inspires Excellence: · Patient Care Director - RN- Inpatient Psychiatry · At NewYork - Presbyterian Columbia now is an exciting time of growth and change, providing nu ...
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Child Care Director
2 weeks ago
Eau Claire YMCA New York, United StatesChild Care Director · Location Job Description Under the direction of the PR, Fund Development and Corporate Sales Director, the Child Care Director is responsible for the development, planning and delivery of all school-aged childcare programs. In addition to program management ...
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Director Customer Care
2 weeks ago
Altice USA New York, United States**Director Customer Care** · **Job ID:** · **Location:** 1111 Stewart Ave, Bethpage, NY · **Overview** · We are Altice USA; a family of businesses that includes Optimum, Suddenlink, Optimum Mobile, Optimum Business, A4 advertising, Cheddar, and News12. Our common goal is conn ...
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Director of Customer Care
1 week ago
Something Navy New York, United StatesNameProviderPurposeExpiryTypeNameProviderPurposeExpiryTypeNameProviderPurposeExpiryTypeNameProviderPurposeExpiryTypetuuid [x2] · Collects visitor data related to the user's visits to the website, such as the number of visits, average time spent on the website and what pages have ...
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Director, Point of Care
1 week ago
Publicis Health Media New York, United StatesJob Description · Job DescriptionCompany Description · PHM is the leading health media agency in the US. We are designed for—and dedicated to—delivering solutions that connect people with meaningful health and wellness solutions every day. Guided by our genuine passion for health ...
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Director of Primary Care
4 days ago
Inspire Healthcare New Jersey, United StatesDetails: · Seeking an experienced Internal Medicine physician to join our teamas the Division Director of General Internal Medicine . This opportunity is located at minutes from New York City. · As a physician leader the Division Director participates in interdepartmental commi ...
Health Care Director - New York, NY, United States - MetroPlus
Description
Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. About NYC Health + Hospitals
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics.
For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Reporting to the Vice President of Provider Network Operations, the Director of Provider Data Integrity and Program Management is responsible for ensuring the highest standards are met for accuracy, accessibility, and availability of the network, including oversite of various vendors.
This position will collaborate with other functions on the development of Provider Key Performance Indicators (KPIs) to inform on performance and operational excellence of the network for both internal and external stakeholders.
Network operational reporting and applications to support the daily workflow of Credentialing, Provider Relations and Provider Engagement activities.Develop and oversee all the functions of the Data Integrity and Program Management team.
Oversight of the vendors responsible for the quarterly accuracy & availability surveys, the annual Provider Satisfaction survey as well as data accuracy and adequacy.
Identify improvements to access and availability of the network and collaborate with various department to execute action plans.In collaboration with Analytics, Quality Management, Claims and others, execute on the development and management of Provider KPI dashboard reporting.
Maintain compliance for Network adequacy, including Medicare requirements and the NY Medicaid PNDS submissions.Develop and maintain Provider Relations and Credentialing activity reporting.
Identify opportunities for operational process improvements, increasing automation, reducing rework, and bringing about operational efficiencies to support an optimal Network Operations environment.
Act as a subject matter expert on Provider Data Management goals and strategies for operational excellence.Develop PowerPoint Slide decks/self-serve tools to support QBRs and Operations meetings based on external KPI's.
Program Management of Site Visits, Access & Availability (A&A), and Education tracking
Development and Coordination of all Provider P&Ps, Quality Committee submissions and Regulatory narratives., ensuring adherence to all Legislative, Regulatory and Contractual requirements.
Fosters a culture of accountability that emphasizes people and performance management, coaching and development and employee engagement.
Minimum 5 years of relevant healthcare industry experience in a provider network operations role; A satisfactory equivalent combination of education, training, and minimum 10 years of relevant healthcare industry experience in a provider network management and Provider Network Operations environment.
operations using current and new technology, achieving cost benefits and service excellence.
Proven track of building cross-functional relationships
Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and Clevel.