Top 1334 Reimbursement manager Jobs in Hauppauge Ny

Director - Care Management
Stamford Health —Stamford, CT
- Full-time
- Nursing
- RN License
- 5 years
Quick Apply
Maintenance Manager
Cogentrix Energy Power Management, LLC —Bridgeport, CT
- $150,000 - $170,000 a year
- Full-time
- Background check
- Microsoft Excel
- Heavy lifting
- Health savings account
- Health insurance
Quick Apply
Care Manager - Long Island (Bilingual in Mandarin or Cantonese)
Advance Care Alliance New York —Hauppauge, NY
- $31.75 - $34.00 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
Quick Apply
Outpatient Occupational Therapist
Reddy Care Physical and Occupational Therapy —Babylon, NY
- $90,000 - $110,000 a year
- Part-time
- Mid-level
- Outpatient experience
- Clinic
- Continuing education credits
- Health insurance
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11d
RN Case Manager
VITAS Healthcare —Bridgeport, CT
- $44 - $48 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse Manager - Full Time - Wyandanch,NY
Sun River Health —Wyandanch, NY
- $90,125.06 - $112,656.32 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Wellness program
- 403(b) matching
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Care Manager at TCC - Bilingual English/Spanish
TRI-COUNTY CARE LLC —Medford, NY
- $24.25 - $34.00 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Travel reimbursement
- Disability insurance
Physical Therapist
Elara Caring —Stamford, CT
- From $105,000 a year
- Full-time
- Management
- Up to 50% travel
- Physical & Rehabilitation Medicine
- Paid holidays
- Health insurance
Quick Apply
Tax Manager
Palmetto, Mollo, Molinaro & Passarello, LLP —Melville, NY
- $125,000 - $175,000 a year
- Full-time
- CPA
- 5 years
- Research
- Disability insurance
- Health insurance
Quick Apply
Deputy Director of Norwalk Housing Authority *HUD Experience Required*
Norwalk Housing Authority —Norwalk, CT
- $165,000 - $168,000 a year
- Full-time
- Spanish
- Microsoft Outlook
- Experience working with individuals with disabilities
- Health insurance
- Dental insurance
Quick Apply
Landscape Project Manager / Assistant Operations Manager
Goldberg and Rodler Inc. —Huntington, NY
- $67,000 - $95,000 a year
- Full-time
- Customer service
- Mid-level
- CDL
- Profit sharing
- Paid holidays
Quick Apply
Care Manager at TCC - Bilingual English/Spanish
TRI-COUNTY CARE LLC —Westbury, NY
- $24.25 - $34.00 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Travel reimbursement
- Disability insurance
Business Development Manager Testing & Engineering Solution Sales
Dayton T. Brown, Inc. —Bohemia, NY
- $130,000 - $170,000 a year
- Full-time
- 5 years
- Mid-level
- Electrical Engineering
- Health insurance
- Dental insurance
Quick Apply
Billing Supervisor
Total Orthopedics & Sports Medicine —Syosset, NY
- $32 - $35 an hour
- Full-time
- Management
- Urgent Care
- HIPAA
- Health savings account
- AD&D insurance
Quick Apply
4d
Care Manager - Long Island (Bilingual in American Sign Language)
Advance Care Alliance New York —Hauppauge, NY
- $31.75 - $34.00 an hour
- Full-time
- Bilingual
- Experience working with individuals with developmental disabilities
- Nursing
- Mileage reimbursement
- Health insurance
Quick Apply
Preconstruction Project Manager
AURORA CONTRACTORS LLC —Ronkonkoma, NY
- $115,000 - $175,000 a year
- Weekends as needed
- 5 years
- Office
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
Indirect Commodity Manager
Leviton Manufacturing —Melville, NY
- $100,000 - $120,000 a year
- Full-time
- Microsoft Excel
- Oracle
- Data analysis skills
- Paid holidays
- Health insurance
Care Manager - Long Island (Bilingual in Bengali)
Advance Care Alliance New York —Hauppauge, NY
- $31.75 - $34.00 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
Quick Apply
Director of Personnel and Labor Relations
Norwalk Housing Authority —Norwalk, CT
- $120,000 - $135,000 a year
- Full-time
- Background check
- Office
- Microsoft Office
- Health savings account
- Health insurance
Quick Apply
Director of Operations- RN License Required
Amedisys —Westbury, NY
- $130,000 - $150,000 a year
- Full-time
- RN License
- Office
- Home Health
- Mileage reimbursement
- Paid parental leave
4d

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Director - Care Management

Stamford Health -
Stamford, CT

Quick Apply

Job Details

Full-time

Qualifications

TJC
Clinical program policy development
Managing healthcare operations budgets
Team leadership
Spreadsheets
Writing skills
Presentations for conferences or internal meetings
CMS
Social service program staff supervision
Microsoft Office
Medical social work
Master's degree
Disciplinary action management
Policy & process development
Human resources management
Bachelor's degree
Clinical staff recruitment
Resource utilization in healthcare
Recruiting
Interdisciplinary policy and procedure development experience
Disease state management
Budget management in healthcare
Healthcare policy development
Financial management
Clinical data analysis
Managing patients as a clinical case manager
Policy Development
Managing social services program budgets

Full Job Description

Stamford Health has an opportunity for a Director of Care Management in Stamford, CT! The Director, Care Management, is responsible for the daily oversight and management of case management, social work, utilization review, transitional care, compliant documentation, and resource utilization. He/she will provide a leadership role in developing innovative care management and alternative reimbursement models, and play a primary role in organizational efficiency and throughout initiatives.

The Director will play a leading role in coordinating and managing the quality, safety and effectiveness, of patient care transitions from and related to the acute care setting. These include transitions to ambulatory, post-acute, and community settings. The Director will lead a team that directs and facilitates relationships among hospital, ambulatory, and community based providers for seamless continuity of care, including but not limited to physician offices, clinics, hospices, skilled nursing facilities, home health agencies, LTACs, and other post-acute and community entities.

The Director will report directly to the VP Quality. He/she will work closely with the leadership of Stamford Health Medical Group, Senior VP Medical Affairs, VP of Clinical Services/Chief Nurse Executive, Chief Information Officer, Department Chairs, and Medical Staff President, in efforts to promote optimal inpatient throughput and transitional care.

Responsibilities:

Responsible for the daily oversight, results, and management of case management, clinical documentation specialists, social services, and utilization review staff.
Responsible for compliance with regulatory, accreditation, payer and other standards in case management, social work and affiliated activities as appropriate for a complex health care organization.
Serve as the lead organizational resource in discharge planning and transitional care.
Foster, lead, and direct relationships between community and hospital based providers for seamless continuity of care of patients, including but not limited to physician offices, clinics, hospice, SNFs, HHAs, LTACs, and other post-acute care community agencies and facilities
Recognize the Planetree philosophy at Stamford Health. The Director will develop programs and have processes in place to anticipate the needs of patients and families, standardizing the approach to communication and processes to improve outcomes and satisfaction.
Develop focused initiatives to accomplish the specific objectives of the Care Management Department as well as the overall goals of the Stamford Health System.
Collaborate with palliative care, hospice, hospitalists and other providers in the care continuum to maximize effectiveness of the team.
Support clinical (nursing and physician) activities by working with the care management staff and intervening with medical staff members as necessary.
Ensure that Stamford Hospital receives all payments that it is entitled to for patient treatment through active advocacy and appeal.
Diligently appeal concurrent and retrospective denials both verbally and in writing through the resources in the department.
Collaborate with Clinical Chairs, Division Directors, Medical Directors and administrative leaders to continue building systems and processes to improve medical management, including participation in the development of pathways, protocols, and referral management processes.
Provide ongoing education to leadership, medical staff, and residents, on care management.
Serve as chair or member of key committees as requested by the SVP Medical Affairs or VP Quality.
Provide leadership for application of evidence based practices for management, aggregation, and analysis of care coordination, quality and safety data involving publicly reported data, data registries, and institutionally-specific variables as agreed with the VP Quality.
Responsible for leading, coordinating and managing the quality, safety and effectiveness of patient care transitions from and pertinent to the inpatient setting. This encompasses transitions both within the hospital and health system as well as in between the system and community at large. This includes admission and discharge planning and enabling disease and resource management efforts
Key strategies may include development and enabling of:
Value-based referral processes
Analysis of readmission data and care protocols;
Readmission tools and high-risk algorithms;
Vulnerable patient home visit processes
Strategy for outpatient care coordinator presence with affiliated PCPs;
A process for failed transfers and readmissions;
Processes for high risk and/or high utilizing patients;
A scorecard for care management across the health system
Collaborate with senior leaders, clinicians from all disciplines, directors, managers, and staff to develop, implement, and evaluate quality, safety, and efficiency in patient-centered cared delivery.
Serve as a primary organizational liaison with public and private payers, in relation to care and utilization management processes.
Integrate discharge planning with functional discharge summaries to ensure comprehensive care coordination.
Embed care coordination into specialty clinics
Evaluate institutional care coordination, quality, and safety data through use of internal data and external benchmarks as appropriate.
Develop programs for individual care planning and communication with community providers and agencies including identifying care needs, treatment goals and objectives, objective criteria for terminating specified interventions and mechanisms to document progress in meeting patient objectives across the care continuum.
Integrate care planning into system EHR platform, health information exchange or other appropriate systems, in conjunction with the IS team.
Manage resources with dual emphasis on both cost containment and continuous improvement.
Promote use of evidence-based standards and nationally recognized best practices in interdisciplinary patient-centered care delivery.
Lead and participate in efforts to redesign care management, and develop alternative care delivery and reimbursement models.
Provide leadership in bundled payment, accountable care, and shared risk arrangements.
Participate in and procure externally funded care management efforts.
Develop and manage Department and Program budgets.
Develop and manage scorecards and performance reports in care management.
Recruit, lead, develop, maintain, evaluate, and discipline care management personnel as necessary.
Evaluate and recommend changes to IS systems pertinent to care management.

Qualifications/Requirements:

Current or pending Connecticut Registered Nurse, Social Work, or Nurse Practitioner License
Bachelors Degree in a related field is required
Masters Degree required (in Healthcare Administration preferred)
Certified Case Manager (CCM) or certification in care management related discipline
Excellent organizational, communication, interpersonal and public speaking skills are required
High level of competency with MS Office and health information technology
Experience with personnel management in including recruitment, job description development and disciplinary processes, is required
Experience with developing, administering, and monitoring budgets is required.
A minimum of five years recent experience in complex case management, long term stays, including nurse assisted case management, utilization management, and disease management
Experience with performance improvement including CMS and TJC core measures
Prior experience working with multidisciplinary group practice and/or community based programs and facilities
Experience in translating objective and measurable data into effective written and verbal communication
The ability to develop and communicate policies and procedures is required
Prior training experience such as performing in-service training is preferred
The ability to evaluate and perform data analyses using Microsoft Excel or equivalent is required
Prior Hospital / Health Care required and experience collaborating with physicians and nurses is preferred
Experience in a Health Care System is preferred
Independent, innovative, decision Maker
Creative approach to resource management, financial, and human capital
RAC Certification or RAC Certification eligible is preferred

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Refine Your Search

reimbursement manager jobs in hauppauge ny

Director - Care Management

Maintenance Manager

Care Manager - Long Island (Bilingual in Mandarin or Cantonese)

Outpatient Occupational Therapist

RN Case Manager

Registered Nurse Manager - Full Time - Wyandanch,NY

Care Manager at TCC - Bilingual English/Spanish

Physical Therapist

Tax Manager

Deputy Director of Norwalk Housing Authority HUD Experience Required

Landscape Project Manager / Assistant Operations Manager

Care Manager at TCC - Bilingual English/Spanish

Business Development Manager Testing & Engineering Solution Sales

Billing Supervisor

Care Manager - Long Island (Bilingual in American Sign Language)

Preconstruction Project Manager

Indirect Commodity Manager

Care Manager - Long Island (Bilingual in Bengali)

Director of Personnel and Labor Relations

Director of Operations- RN License Required

I want to receive the latest job alert for reimbursement manager in hauppauge ny

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