- MVP Health Care (Rochester, NY)
- Case Manager , Medicaid Long Term Support Program 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2302 Friday, ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join… more
- City of New York (New York, NY)
- …TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and ... of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This...and Federal guidelines and procedures. - Complete the required case action utilizing the Welfare Management System (WMS) and… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Financial Case Management Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Elevance Health (Middletown, NY)
- **Medical Director- NY Medicaid ** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... of clinical guidelines and criteria + Ensures timely completion of clinical case reviews + Participates in clinical appeals review process + Interprets medical… more
- EAC Network (Central Islip, NY)
- Case Manager - Suffolk Transitional ...helping over 79,000 people through 100 impactful programs across Long Island and NYC, is looking for a dedicated ... Job Category Human Service Join Our Team as a Case Manager ! Are you passionate about supporting...Department of Social Services to ensure timely activation of Medicaid and other benefits. + Enroll and dis-enroll persons… more
- Molina Healthcare (New York, NY)
- …people who are eligible for Medicaid and Medicare. We are looking for a Case Manager with a LMSW or LCSW licensure. Experience with Long -term Services ... business. _Senior Whole Health by Molina_ is a Managed Long -Term Care (MLTC), and Medicaid Advantage (MAP)...CCA, PEGA knowledge and proficient MS Excel experience. The Case Manager must have the ability to… 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
- Molina Healthcare (NY)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Personal...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… 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
- Molina Healthcare (NY)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Personal...Personal Care Services team. This position will have a case load and manage members enrolled in this program.… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The Financial Case Manager is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification ... patients per policy for hospital and clinical accounts.* Thorough knowledge of long term care Medicaid program including necessary forms, documentation… more
- Goddard Riverside (New York, NY)
- NORC Case Manager - Aging Services - West Side NORC Job Details Job Location GRCC NORC - New York, NY Position Type Full Time Salary Range $45742.00 - $52000.00 ... support services provided by on-site Goddard Riverside staff. Position Summary:The NORC Case Manager provides individualized services to enable seniors to live… more
- CVS Health (Albany, NY)
- …state, it is preferred that RN license is part of the compact. + Certified Case Manager is preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time ... Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex...are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical… more
- Trinity Health (Schenectady, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Rotterdam) Eddy SeniorCare has a rewarding ... opportunity for a full time RN Care Manager to manage a caseload of patients and help...help them remain as independent as possible for as long as possible in the community, working with a… more
- Cardinal Health (Albany, NY)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, … more
- Cardinal Health (Albany, NY)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... prior authorizations, and appeals, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred… more
- Cardinal Health (Albany, NY)
- …expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, ... Medicaid , Managed Care, and Commercial medical and pharmacy plans...myFlexPay + Flexible spending accounts (FSAs) + Short- and long -term disability coverage + Work-Life resources + Paid parental… more
- Lutheran (West Seneca, NY)
- …treatment. + Care Manager will meet with the child/youth and family (including LDSS Case Manager and VFCA Case Planner for children in Foster Care), ... integrate the continuum of medical, behavioral health services, rehabilitative, long term care and social service needs and clearly...be reported to the Voluntary Foster Care Agency (VFCA) Case Planner + Care Manager supports adherence… more
- Equinox, Inc (Albany, NY)
- …supervisory, fiscal, regulatory and evaluative) + In the absence of the Program Manager , reviews Treatment Plans, Quarterly Case Reviews and Functional Skills ... Assistant Program Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12206) Job Type Full-time Description Equinox is a… more