- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to ... Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or... Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
- CDPHP (Latham, NY)
- …be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care of CDPHP ... addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for...clinical experience is required. + Previous experience working with Medicaid Long Term Care Programs preferred. +… more
- Lifespan (Rochester, NY)
- …and helping plan and maintain long -term financial security of clients. The case manager is responsible for processing Social Security, Medicaid and ... Case Manager -Financial Services Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description STATUS: Full-time (37.5… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department of ... Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- GMHC (New York, NY)
- Housing Substance Use Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time ... Description TheHousing Substance Use (SU) Case Manager (CASAC)provides client-centered substance use counseling and case management to individuals enrolled… more
- Equinox, Inc (Albany, NY)
- Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... mental illness and an addiction that need 24/7 support. Position Summary: The Residential Case Manager is responsible for providing service plan development and … more
- The Salvation Army (Syracuse, NY)
- …team's data entry and compliance. Care Manager Responsibilities: + Provide case /care management to Medicaid Members seeking assistance from Salvation Army ... Overview Seeking a Senior Enhanced Care Manager to join our Divisional Headquarters Team Our...Company Paid Basic Term Life Insurance for Employee + Long Term Disability Insurance + Eligibility for supplemental insurance… more
- Humana (Albany, NY)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Callen-Lorde Community Health Center (New York, NY)
- MANAGER , DENTAL OPERATIONS Job Details Job Location Callen-Lorde Community Health Center - Manhattan - New York, NY Position Type Full Time Education Level 2 Year ... Role We are seeking aManager of Dental Operations (Practice Manager ) to join our team. This role is critical...wait-time reports; implement strategies to enhance patient access and case completion. + Resolve patient service concerns in accordance… more
- Heritage Ministries (Greenhurst, NY)
- …university in a human services related field. + Preferred experience as a caseworker, case manager , intake specialist, or related work experience with the ... and guidance until the process is completed and the case is opened. In cases, where there is no...long -term care client population, preferably Medicaid related… more
- Healthfirst (NY)
- … Medicaid and//or Managed Long -Term Care Plan (MLTCP)** **Experience working as a case manager for a long -term care programs such as PACE, MAP or ... MLTC** **Strong understanding of value-based care principles and their application to MLTC populations** **Experience accessing and maintaining patient health information (PHI) electronically in a shared network** **Strong computer skills, including, but not… more
- Elevance Health (Middletown, NY)
- …Primary focus will be, but not limited to: contracting and negotiating Single Case Agreements. Typically works with the most complex providers. Complex providers may ... immunotherapy contracting experience. + Commercial, Medicare, and / or Medicaid contracting experience. + Strong negotiation skills, critical thinking, analytical… more
- New York State Civil Service (New York, NY)
- …York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_ MA_6393Salary is ... ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse… more
- City of New York (New York, NY)
- …are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... criteria last year to include the provision of HASA case management services to all persons diagnosed with HIV....case transactions to be reported to the Regional Manager . - Provide primary oversight and final approval/ disapproval… more
- Molina Healthcare (Buffalo, NY)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... denial decisions. * Resolves escalated complaints regarding utilization management and long -term services and supports (LTSS) issues. * Identifies and reports… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The...and Medicare recipients that need in home care and Long -term care services, + Care Managers who will manage… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of all Minimum… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care...assistance. 13.Interacts with medical and professional staff on a case by case basis to obtain appropriate… more
- CenterWell (Albany, NY)
- …teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/… more