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Associate Business Manager
4 weeks ago
Daymon Schenectady, United StatesAssociate Business Manager (Onsite, Schenectady or Buffalo, NY) · At our Company, we grow People, Brands, and Businesses We are seeking an Entry level position in Business Management, this role receives guidance and direct supervision from more senior level BM. Must have great de ...
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Associate Business Manager
3 weeks ago
Daymon Schenectady, United StatesSummary · Associate Business Manager · At our Company, we grow People, Brands, and Businesses We are seeking an Entry level position in Business Management, this role receives guidance and direct supervision from more senior level BM. Must have great decision-making skills. · ...
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Associate Nurse Manager
2 weeks ago
Ellis Medicine Niskayuna, United States Full timeThe Associate Nurse Manager functions as the clinical manager of a unit for an assigned shift. Provides support to the nurse manager in the planning, education, coordination, staffing, and supervision of nursing care delivery to ensure efficient and effective patient care. Ensure ...
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Care Management Associate
2 weeks ago
US Tech Solutions Schenectady, United StatesJob Description: Support comprehensive coordination of medical services including member transitions, screening and supporting the implementation of referrals to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services. ...
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Care Management Associate
2 weeks ago
US Tech Solutions Schenectady, United StatesJob Description:Support comprehensive coordination of medical services including member transitions, screening and supporting the implementation of referrals to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services. · ...
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Associate Community Manager
1 week ago
URBAN CO-WORKS Schenectady, United StatesCoworking is the newest trend in flexible office space in the Capital Region and Urban Co-Works is growing Our 150+ members enjoy our all-inclusive, industrial-chic private offices and coworking space. · **CAN DO ATTITUDE** · **WHAT YOU WILL DO** · - Develop relationships and be ...
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Member Services Associate/assistant Manager
2 weeks ago
AAA Northway Schenectady, United States**Voted Times Union Top Workplaces 2018, 2019, 2020, 2021, 2022, 2023, & 2024** · **Summary**: · - Coordinates auto travel for Club members and non-members Responsibilities. · - Opens and closes office using standard company procedures. · - Responsible for assisting in the manage ...
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Associate Project Manager
1 week ago
TRC Companies Clifton Park, United StatesAbout Us Groundbreaker. Game changer. Pioneer. TRC has long set the bar for clients who require more than just engineering, combining science with the latest technology to devise innovative solutions that stand the test of time. From pipelines to power plants, roadways to reservo ...
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Associate Territory Manager
1 week ago
BD Albany, United States Full timeDescription · We are the makers of possible · BD is one of the largest global medical technology companies in the world. Advancing the world of healthTM is our Purpose, and it's no small feat. It takes the imagination and passion of all of us—from design and engineering to the ...
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Associate Relations Manager
1 week ago
Hannaford Supermarkets Troy, United StatesAddress: · USA-NY-Troy-9 Lord Avenue · Store Code: · Store 08450 Management · Hannaford Supermarkets started out as a fresh produce vendor in Portland, Maine way back in 1883, and is still connected to those early roots as a local market. Hannaford actively seeks out farmers ...
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NY: Associate Manager
1 week ago
PetSmart Amsterdam, United StatesABOUT OUR STORE: · What better place to share your love for pets than in our stores? With so many opportunities under one roof, you'll be sure to find a career path that inspires you. As the Department Manager over associates, you'll ensure that the store runs smoothly-from head ...
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Executive Chef
2 weeks ago
Compass Group USA Schenectady, United StatesCompass Community Living · Salary: $ $62000 · Other Forms of Compensation: Merit increases yearly · With people as our core and a deep commitment to exceptional hospitality, CCL Hospitality Group has a philosophy rooted in caring for the individuals who care for our guests. Our ...
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Center Medical Director
2 weeks ago
CSL Schenectady, United States Part timeDescription · Serves as the primary physician for reporting to the Food and Drug Administration and in such capacity provides medical oversight in compliance with applicable Federal and State regulations including the applicable sections of Title 21 of the Code of Federal Regulat ...
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Purchasing Agent
2 weeks ago
Ellis Medicine Schenectady, United States Full timeThe Purchasing Agent is responsible for managing the procurement process, for their assigned areas, by maintaining purchase orders and contracts using strategies that will result in the best possible combination of quality, service and total cost for the Hospital. Maintains the d ...
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New York State Schenectady, United States Full timeMinimum Qualifications Open Competitive: A bachelor's or higher-level degree including or supplemented by 15 semester credit hours in computer science. · OR · A bachelor's or higher-level degree in any field and one year of experience in information technology; or 60 semester cre ...
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Counter Sales Representative
2 weeks ago
Bellevue Builders Supply Schenectady, United StatesFounded in 1937, Bellevue Builders Supply offers a broad range of services, including stair, wall panel and truss manufacturing, and specialty building products to both professional builders and do-it-yourselfers in upstate New York. · US LBM pro vi des a wide range of building m ...
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Nurse Manager
2 weeks ago
Ellis Medicine Schenectady, United States Full timeThe Nurse Manager (NM) actualizes the vision, mission and values for Ellis Medicine and maintains standards of the practice for nursing as defined by the American Nurses Association, Code of Ethics, Nursing Scope and Standards of Practice and Nursing's social Policy Statement. Th ...
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Program Director
3 days ago
Planet Healthcare Schenectady, United StatesJob Description: · A fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). The training program is a single program site in a large community hospital setting and focuses on maintaining a highly supportive resident-centered atmosphere to promote ex ...
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MVP Health Care Schenectady, United StatesMember Appeals Associate, Medicare Appeal Coordinator · 625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA Req #2056 Tuesday, June 4, 2024 Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunit ...
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Intern, Brand Development
5 days ago
Daymon Schenectady, United States Full timeSummary · Daymon is hiring for our 2024 Summer Internship Program. This individual will be with us for 8-12 weeks. Relocation assistance is provided to those who are not local to the area. Internships provide students with challenging, relevant work experience in their field of ...
Care Management Associate - Schenectady, United States - US Tech Solutions
Description
Job Description:
Support comprehensive coordination of medical services including member transitions, screening and supporting the implementation of referrals to promote effective utilization of healthcare services.
Promotes/supports quality effectiveness of Healthcare Services. Create authorizations in QNXT to support continuity of care for member.Screens incoming forms using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan.
Coordinates and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense by identifying opportunities for the patient to utilize participating providers and services.
Experience:
1+ years of experience in a healthcare setting.
Computer literacy and demonstrated proficiency is required in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.
Medical TerminologySkills:
Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented.
Ability to work in a fast paced, rapidly changing environment Customer service skills with the ability to work in a team environment.
Education:
Verifiable High School diploma or GED is required.
