Care Solutions is seeking RN Care Manager. . . Join the excitement in support of our MLTC and Medicare Advantage Plan businesses. Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CCS is committed to providing quality, coordinated health care to some...
Care Solutions is seeking RN Care Manager. . Join the excitement in support of our MLTC and Medicare Advantage Plan businesses. . Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CCS is committed to providing quality, coordinated health care to some...
Care Solutions is seeking RN Care Manager. . . Join the excitement in support of our MLTC and Medicare Advantage Plan businesses. Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CCS is committed to providing quality, coordinated health care to some...
Care Solutions is seeking RN Care Manager. . . Join the excitement in support of our MLTC and Medicare Advantage Plan businesses. Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CCS is committed to providing quality, coordinated health care to some...
Care Solutions is seeking RN Care Manager. . . Join the excitement in support of our MLTC and Medicare Advantage Plan businesses. Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CCS is committed to providing quality, coordinated health care to some...
Care Solutions is seeking RN Care Manager. . . Join the excitement in support of our MLTC and Medicare Advantage Plan businesses. Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CCS is committed to providing quality, coordinated health care to some...
Care Solutions is seeking RN Care Manager. . . Join the excitement in support of our MLTC and Medicare Advantage Plan businesses. Centers Care Solutions (CCS), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CCS is committed to providing quality, coordinated health care to some...
JOB SUMMARY. . The Claims Trainer is responsible for planning, developing and delivering training programs that meet specific needs for the Claims Department. The trainer will collaborate with the claims management team to identify and analyze learning gaps and opportunities to facilitate staff development and promote continued high performance. . PRIMARY RESPONSIBILITIES. Designs, develops, and implements training programs, material and curricul...
JOB SUMMARY. . The Home Care Relations Liaison position is responsible for working with internal departments and external providers regarding existing members request for provider change. This position will assist with CDPAS documentation and authorizations. . PRIMARY RESPONSIBILITIES. . Point person for Utilization Management, Case Management and G&A regarding resolution to members request for a change in provider. Communicate with current provi...
JOB SUMMARY. . The Assessment Nurse, works in collaboration with the Care Management team and is responsible for assessing a member’s eligibility for the Centers Plan for Health Living’s (CPHL all LOB programs. The Assessment Nurse will conduct a face-to-face comprehensive assessment utilizing NYSDOH approved assessment tool (UASNY) and risk acuity visits with a member in his/her place of residence. The Assessment Nurse is a member of the inter...
JOB SUMMARY. . The Field Coordinator is an essential team member of Centers Plan for Healthy Living’s Care Management department and assists with the care of all members enrolled in CPHL’s managed care plans. The Field Coordinator schedules and completes in-person visits as part of routine follow-up and collaborates with Care Management to ensure the member’s care needs are met. . PRIMARY RESPONSIBILITIES. Schedule in-person visit appointments. P...
JOB SUMMARY. . The objective is to ensure ongoing compliance, provide support and training by monitoring the field staff on a monthly basis. The Trainer/Auditor will provide oversight of the field staff. He/she will bring back observations and recommendations for the Training & Development department to utilize in developing strategy and plans that ensure compliance and can also be used to keep class trainings relevant and up to date. The Traine...
