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Pre-Authorization Unit Supervisor Metropolitan Jewish Health System The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms
The supervisor in this position is responsible for the oversight of the overall day to day functioning of the MLTC/DSNP pre-authorization functions. The supervisor's daily oversight includes reviewing data to monitor regulatory requirements (standard/expedited time frames, org determination outcomes and communication, inter-rater reliability), provides direction for complex cases, monitors pending cases, reviews and educates staff on new criteria trends (including InterQual, local carrier policy, national coverage determinations), and acts as a liaison with interdepartmental communication.
Graduate of an accredited nursing program: baccalaureate degree preferred. Minimum one to three years' previous management experience preferred. Previous managed care experience in the areas of utilization management and/or case management preferred. Minimum one year nursing practice in clinical settings, i.e. hospital, nursing facility or home health. Licensed to practice as a Registured Nurse in the state of New York with current registration. CCM preferred Knowledge of InterQual preferred. Knowledge of Federal and State regulatory requirements for managed care. New York, NY, US, 10261Posted 5 hours ago Dispatcher. New York Blood Center At New York Blood Center, one of the most comprehensive blood centers in the world, our focus is on cultivating excellence by merging cutting-edge innovation with diligent customer service, groundbreaking research, and comprehensive program and service development. Join us as we work towards meeting and exceeding the growing needs of our diverse communities, further our lifesaving strategic goals in a rapidly changing environment, and expand our impact on the local, national, and global communities we serve. Long Island City, NY, US, 11101Posted 5 hours ago FT Receiver. Hannaford Supermarkets 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 and producers to join our Local program which celebrates not only local foods, but the preservation of farmland, local traditions and local jobs. The connection we have to the source of our fresh foods is core to the way we do business, becoming the first major supermarket in the United States to document that all its seafood products were sustainably harvested. New Windsor, NY, US, 12553Posted 5 hours ago BOSS Fulfillment Outfitter. Bass Pro, LLC BOSS (Buy Online Ship from Store) is a process that allows us to improve our overall shopping experience for our customers. By accessing inventory in all of our retail locations, it helps us quickly find the right product for our customers no matter where they are shopping. The BOSS Fulfillment Outfitter must be familiar with the products we sell, will be responsible for filling BOSS orders, sorting, picking, packing, and loading merchandise for shipment to direct customers and retail stores as needed. Ensures merchandise is handled to maintain quality and appearance for customers. Atlantic City, NJ, US, 08400Posted 5 hours ago Agency Transportation Coordinator. New York City Department of Transportation Fleet Services seeks a highly motivated individual to support the Associate Deputy Commissioner as the Agency Transportation Coordinator. The successful candidate will serve as a key member of the Fleet Services Senior Team. The candidate will support the Associate Deputy Commissioner in meeting the operational and programmatic goals of the Division. New York, NY, US, 10041Posted 5 hours ago Patient Transport Aide- PT- Evening. Hackensack Meridian Health "Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change." Neptune, NJ, US, 07753Posted 5 hours ago Warehouse Associate II. RXO As a Warehouse Associate II in Last Mile at RXO, you'll play an important role in making sure freight gets where it needs to go. You'll work alongside a top caliber management team that understands the transportation industry. Swedesboro, NJ, US, 08085Posted 6 hours ago Logistics Supervisor.Benjamin Moore & Co The Distribution Operations Supervisor is directly responsible for overseeing warehouse associates supporting Distribution Center Operations. Primary responsibilities include all aspects of inbound and outbound shift operations including finished goods accuracy and maintaining associated records, coordinating shift job assignments, scheduling of vacation, attendance, monitoring performance goals for all shift personnel. People management responsibilities include mentoring, coaching, training, developing talent, conducting performance appraisals, addressing performance issues, and resolving problems. The Distribution Operations Supervisor may operate as the primary site leader when the manager is not available. Clifton, NJ, US, 07015Posted 6 hours ago Shipper/Receiver II- Off Shift 2p-10:30p. Benjamin Moore & Co At Benjamin Moore, we empower our team members to achieve their goals and make a positive impact in our communities. We offer a rewarding and inspiring work environment that fosters creativity, collaboration, and a strong sense of camaraderie. Our culture of excellence and transparency encourages our colleagues to bring their authentic selves and unique perspectives/ideas every day. With 140 years of rich history behind our brand, we know that our people are the driving force behind our success. We believe in investing in our colleagues by offering work-life balance, competitive/ benefits, ongoing learning/continuing education, and skill development. Through a positive and engaging workplace, we facilitate growth, development, and fulfillment for all. Newark, NJ, US, 07175Posted 6 hours ago Billing Agent I. AIT Worldwide Logistics, INC. Billing Agent is responsible for processing invoices, billing customers, and taking care of all related customer invoicing/posting tasks. Ensure invoices are mailed in timely fashion.
Responsibilities
Generate and deliver accurate / timely invoices specific to customer accounts per invoicing KPI metrics, via digital, EDI and traditional mail services. Accountable for printing out invoices and send out weekly manifest or invoices. ( If required ) Research and correct rating and billing discrepancies Produce weekly invoice summaries of all activity processed for all accounts. Ensures division codes are correct at the HAWB level. Monitors and respond all emails regarding invoices. Acts as a liaison with the internal and external customers in solving problems related to shipment invoicing. The wage range for this position is $17.93 - $27.82 and may vary based on geography as well as relative knowledge, skills, abilities, and experience
Qualifications
Education Qualifications High School Diploma Required Experience Qualifications less than 1 year experience in bookkeeping and accounting Required 2+ years AS400 experience a plus, ITAR, DG or TSA work experience/regulations Preferred Skills and Abilities Ability to navigate the following Air Carrier's, LSPs websites to gather detail on shipment level activities. UPS, FEDEX, USPS (Medium proficiency) Previous experience working with As400 and Cargo Wise (Medium proficiency) Exhibits basic understanding of domestic & international transportation flows (Medium proficiency) Proficient and computer literate and knowledge of how to operate printers (Medium proficiency) Strong Knowledge tariff base on pricing within agent network (Medium proficiency) Professional communication verbal and written for phone/e-mail interaction (Medium proficiency) Ability to work in a high pace and high volume environment (Medium proficiency) Other Skills We Hope to See: A team player who works well with others - being respectful to our teammates is a Core Value! A strong work ethic with an appreciation for ownership, independence, accountability and autonomy in your role. Growth mindset - being passionate about your craft, always looking for ways to improve yourself and the company, being open to change and doing things differently. Customer service focus - we serve a wide variety of customers, both internal and external, and building relationships is a part of our culture!
What AIT Can Offer You
In addition to your base compensation, you may be eligible for a bonus based on achievement of business and/or individual performance metrics (dependent on position). Benefits offered include Medical, Prescription, Health Savings Account, Flexible Spending Accounts, Dental, Vision, Life, AD&D, Disability, Supplemental Health, Employee Support program, Paid Parental Leave, Pet Insurance, 401(k) and Tuition Reimbursement for your personal development. In addition, teammates may be eligible for up to 10 to 20 days of vacation (depending on tenure), 2 personal days, 5 sick days, 5 volunteer hours, and 6 company holidays (plus Veterans Day for Veterans) annually.
About AIT Worldwide
AIT Worldwide Logistics is a global freight forwarder that helps its customers grow by expanding access to markets all over the world where they can sell and/or procure raw materials, components, and finished goods. For more than 40 years, the America's-based supply chain solutions leader has relied on a consultative approach to build a global network and trusted partnerships in nearly every industry, including aerospace, automotive, consumer retail, food, government, healthcare, high-tech, industrial and life sciences. Backed by scalable, user-friendly technology, AIT's flexible business model customizes door-to-door deliveries via sea, air, ground, and rail-on time and on budget. With expert teammates staffing more than 100 worldwide locations in Asia, Europe, India, and North America, AIT's full-service options also include customs clearance, warehouse management and white glove services. Learn more about AIT Worldwide Logistics, our culture and core values in action here. AIT Worldwide Logistics is an Equal Opportunity Employer - M/F/Veterans/Disabled. If you are unable to apply online due to a disability, contact Human Resources at . Freeport, NY, US, 11520Posted 6 hours ago Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms
The supervisor in this position is responsible for the oversight of the overall day to day functioning of the MLTC/DSNP pre-authorization functions. The supervisor's daily oversight includes reviewing data to monitor regulatory requirements (standard/expedited time frames, org determination outcomes and communication, inter-rater reliability), provides direction for complex cases, monitors pending cases, reviews and educates staff on new criteria trends (including InterQual, local carrier policy, national coverage determinations), and acts as a liaison with interdepartmental communication.
Graduate of an accredited nursing program: baccalaureate degree preferred. Minimum one to three years' previous management experience preferred. Previous managed care experience in the areas of utilization management and/or case management preferred. Minimum one year nursing practice in clinical settings, i.e. hospital, nursing facility or home health. Licensed to practice as a Registured Nurse in the state of New York with current registration. CCM preferred Knowledge of InterQual preferred. Knowledge of Federal and State regulatory requirements for managed care. View more..