24 jobs found in Albany

JOB DESCRIPTION Job Summary The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and requirements pertaining to delegation agreements. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates must be technologically proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work hours: Monday - Friday 8:00am – 4:00pm Remote position Essential Job Duties Coordinates, conducts and documents pre-delegation and annual assessments as necessary...

Employment Type: Full time Shift: Day Shift Description: RN - Neurology MS & Headache - Albany, NY - full time -hybrid/remote after training If you are looking for a full time RN II position this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be located at 63 Shaker Road, Albany, NY Position Highlights: Quality of Life: Where career opportunities and quality of life converge Advancement: Strong orientation program, generous tuition allowance and career development Work/Life: Monday - Friday Office Hours What you will do: The Registered Professional Nurse has the responsibility and accountability to utilize the nursing process to diagnose and treat human responses to actual or potential problems of individuals or groups. The Registered Professional Nurse works within and contributes to an environment where the St. Peter's Healthcare Services mission is actualized, patient outcomes are achieved, and...

Employment Type: Full time Shift: Day Shift Description: RN - Endocrinology Office - Albany, NY / Hybrid Remote - FT If you are looking for an RN II position in an outpatient Endocrinology Office, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be located at 63 Shaker Road, Albany, NY and is available hybrid remote. Position Highlights: Quality of Life: Where career opportunities and quality of life converge Advancement: Strong orientation program, generous tuition allowance and career development Work/Life: Monday - Friday Office Hours (2 Remote Days) What you will do: RN hybrid position specialized role to do chart review for endocrine referrals. The Registered Professional Nurse has the responsibility and accountability to utilize the nursing process to diagnose and treat human responses to actual or potential problems of individuals or groups. The Registered Professional Nurse works within...

Employment Type: Full time Shift: Day Shift Description: Registered Nurse - Endocrinology - Albany, NY If you are looking for a Hybrid RN II position, full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be located at 63 Shaker Road, Albany NY. Position Highlights: Quality of Life: Where career opportunities and quality of life converge Advancement: Strong orientation program, generous tuition allowance and career development Work/Life: Monday - Friday Office Hours (2 Remote Days a Week) What you will do: The Registered Professional Nurse has the responsibility and accountability to utilize the nursing process to diagnose and treat human responses to actual or potential problems of individuals or groups. The Registered Professional Nurse works within and contributes to an environment where the St. Peter's Healthcare Services mission is actualized, patient outcomes are achieved, and...

Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care.  This position will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have strong organizational skills, proficient knowledge of MS Excel, able to work on multiple screens simultaneously and be computer literate to keep up with the work. The team works in a very fast and productive environment. Further details to be discussed during our interview process. Remote position with location preference in MI, IL or WI Work hours: Monday- Friday: 8:30am -5:00pm EST. There is Saturday on call and holiday rotation....

If you are a current Jazz employee please apply via the Internal Career site. Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to transform the lives of patients and their families. We are dedicated to developing life-changing medicines for people with serious diseases — often with limited or no therapeutic options. We have a diverse portfolio of marketed medicines, including leading therapies for sleep disorders and epilepsy, and a growing portfolio of cancer treatments. Our patient-focused and science-driven approach powers pioneering research and development advancements across our robust pipeline of innovative therapeutics in oncology and neuroscience. Jazz is headquartered in Dublin, Ireland with research and development laboratories, manufacturing facilities and employees in multiple countries committed to serving patients worldwide. Please visit www.jazzpharmaceuticals.com for more information. The Medical Science Liaison (MSL) is a...

JOB DESCRIPTION  Job Summary The Care Manager (RN) provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting our Complex Adult Medical Care Management program. The ideal candidate will bring strong expertise in chronic disease management, with familiarity in evidence-based practices for conditions commonly seen; such as hypertension, diabetes, asthma, COPD, and chronic kidney disease/ESRD. Skilled in closing HEDIS, preventive care gaps through proactive outreach and coordination with members/providers. Experience integrating medical and behavioral health needs in care planning, understanding of clinical guidelines, social determinants of health, and health equity principles is...

JOB DESCRIPTION  Job Summary The Care Manager RN provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting our Complex Pediatric Care Management program. The ideal candidate will bring expertise in pediatric conditions such as asthma, diabetes, and ADHD. Skilled in closing HEDIS and preventive care gaps through proactive outreach and coordination with members and providers. Experience integrating medical and behavioral health needs in care planning, along with an understanding of clinical guidelines, social determinants of health, and health equity principles is also beneficial. Case management and managed care experience is preferred. Remote position based in New York A New...

Ready to take control of your career? Say hello to Liveops where flexibility, freedom and meaningful opportunities are just a click away. Liveops is searching for dynamic, Spanish-English bilingual Independent Contractors (ICs) who are eager to deliver exceptional virtual teleservices for industry-leading brands. Whether your background is in healthcare, customer care, finance, or technical support, this is your chance to leverage your skills, broaden your horizons, and build a rewarding home-based business tailored to your strengths.  As an Independent Contractor, you will: Be your own boss Choose when and to whom you provide support services Set your own schedule Provide a distraction-free home office Provide your own home office equipment Handle customer calls, assess needs, and solve problems Requirements: Strong verbal and written English and Spanish skills At least 1 year of phone-based customer support experience Computer skills,...

Earn Extra Cash While Working From Home Make extra cash with this list of side gigs—part-time, passive income, and flexible options! Your Next Side Hustle Start Earning Today!

Earn Extra Cash While Working From Home Make extra cash with this list of side gigs—part-time, passive income, and flexible options! Your Next Side Hustle Start Earning Today!

Earn Extra Cash While Working From Home Make extra cash with this list of side gigs—part-time, passive income, and flexible options! Your Next Side Hustle Start Earning Today!

Earn Extra Cash While Working From Home Make extra cash with this list of side gigs—part-time, passive income, and flexible options! Your Next Side Hustle Start Earning Today!

Earn Extra Cash While Working From Home Make extra cash with this list of side gigs—part-time, passive income, and flexible options! Your Next Side Hustle Start Earning Today!

Earn Extra Cash While Working From Home Make extra cash with this list of side gigs—part-time, passive income, and flexible options! Your Next Side Hustle Start Earning Today!