Care Network

Care Network

19 jobs near Valley Stream, NY

Help Desk Technician

Valley Stream, NY

$21 - $28.25/hr

You should have the ability to diagnose and resolve technical issues, both computer and network based. Excellent communication skills are a must, along with being customer focused and having patience.

Apex Rehabilitation and Healthcare is a family of skilled nursing facilities and rehabilitation centers. We are resident-centered and quality-focused! Our workplace culture is all about uplifting ...

Our Rehab Aides play a crucial in supporting our rehab nurses and therapists in providing top-quality rehabilitation treatment and patient care, adhering to facility, state, and federal regulations ...

In House-Accounts Payable

Valley Stream, NY

$20.25 - $25.25/hr

Accounts Payable Clerk Job Responsibilities: Completes payments and controls expenses by receiving, processing, verifying, and reconciling invoices. Accounts Payable Clerk Job Duties: * Reconciles ...

Accounts Payable -

Valley Stream, NY

$68.50K - $94.20K/yr

ob description Nursing home management company looking for an Accounts Payable clerk to provide strong leadership to our accounts payable department and ensure that the department runs smoothly. To ...

HR Administrative Assistant

Valley Stream, NY

$19.25 - $25.75/hr

Job Title: HR Assistant Location: New York Reports To: HR Manager and Director of Operations Job Summary: The HR Assistant will support the HR Manager and Director of Operations by handling various H ...

Staff Accountant

Valley Stream, NY

$57.50K - $75.80K/yr

Position Overview: We are looking for a motivated and experienced Staff Accountant to manage a variety of accounting responsibilities, including preparing financial statements, reconciling accounts ...

Hr assistant

Valley Stream, NY

$39.20K - $50.20K/yr

DESCRIPTION Reports to & works closely with the Director of Operations Job Responsibilities: * Review resumes and pre-qualify new applicants for interviews * Provide Application forms, and intake ...

We are looking for a Staffing coordinator to undertake a variety of tasks such as recruitment, orientation and placement of employees. A staffing coordinator must be an excellent communicator, able ...

Nursing Home Payroll

Valley Stream, NY

$24.50 - $33.50/hr

Nursing home management company looking for a Payroll Specialist to oversee the payroll for nursing home facilities. Responsibilities · Verify timekeeping records · Record payroll data in our ...

Regional Managed Care Case Manager for SNF/LTC

Regional Managed Care Case Manager for SNF/LTC

Care Network

Valley Stream, NY • Remote

Full-time

Posted 21 days ago


Job description

Virtue Clinical Solutions is actively seeking an experienced Regional Managed Care Manager to oversee Managed Care programs for skilled nursing facilities. This position is suited for a healthcare professional with a robust background in skilled nursing care management and a keen ability to lead remote teams.

Experience Requirements:

  • Required: Minimum of 1-3 years direct experience in skilled nursing facilities, with specific skills in obtaining Managed Care authorizations and appeals
  • Preferred: Over 5 years of experience, including supervisory roles overseeing team members and managing complex healthcare operations, preferably within managed care environments.

Responsibilities:

  • Manage and track authorizations for HMO patients across multiple skilled nursing facilities.
  • Supervise a team of case managers, and managed care coordinators ensuring seamless communication between Admissions, Social Work, Rehab, and Billing departments.
  • Lead critical care committees and enhance overall service delivery and patient care.
  • Coordinate with insurance case managers to discuss patient care plans, progress, and discharge plans, and advocate for patient care.
  • Compile appeal packages for denied services or coverage.
  • Promote ongoing professional development and ensure staff competencies align with the highest standards of care.

Qualifications:

  • In-depth knowledge of Medicare, Medicaid, and Commercial Insurance guidelines, including specific programs like HARP, AARP, Obamacare, No-Fault, and Workers Comp.
  • Experience within skilled nursing facility settings.
  • Strong leadership capabilities with demonstrated skills in mentoring and developing remote teams.
  • Proficient in Microsoft Excel and Word; exceptional verbal and written communication skills.
  • Organizational with the ability to manage multiple tasks effectively .

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About Care Network

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We provide information and guidance and practical and emotional support to help people and communities. We work alongside local people to improve confidence and connection. The passion and commitment of our team, combined with an army of dedicated local volunteers, means that we are truly embedded within communities across the districts of the county. We will always continue to work in this manner as it has repeatedly proven to be the most effective way to help and support local people. We are aware that for many, a lot of uncertainty lies around the future of access to health and social care services and we are committed to try and fill these gaps, supporting our service users along every step of their own personal journeys.

Industry

Non-profits

Company size

11 - 50 Employees

Headquarters location

Hardwick, Cambridgeshire, UK

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