- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed ... for children in foster care . This role coordinates with the Medicaid managed care plans as the liaison for GA and the youth enrolled in the … more
- New Directions Youth and Family Services (Amherst, NY)
- …physicians/Medical Director. 20. Acts as the liaison between youth, parent, New Directions Medicaid Managed Care Liaison , school and other community ... building relationships and helping the young people in our care , instead of being in an office all day....provides health-related services to the youth in our Foster Care and Residential programs may be a good fit… more
- CDPHP (Albany, NY)
- …via the telephone line, fax machine and mail. The Medicaid Special Programs Care Manager typically works in the telephonic managed care setting but ... of quality, clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Care Manager...patients with social needs preferred. + Experience in home care , medical office setting or managed health… more
- Bristol Myers Squibb (New York, NY)
- …related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.) strongly preferred + ... Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to... accounts, covering all books of business (eg, Commercial, Managed Medicaid , Fee-for-Service, Medicare, PBMs, and Exchange… more
- Healthfirst (NY)
- …and adherence to Protected Health Information (PHI) at all times. Assist Intake and Care Teams in confirming Medicaid eligibility upon referral by Enrollment or ... Care Teams. Document status of Medicaid and entitlement coverage in designated systems. Prepare/submit monthly...insurance, home care environment, acute, sub-acute, long-term care setting, or managed -long term care… more
- Healthfirst (Enfield, NY)
- …healthcare coverage for Medicaid . + Contact Senior Health Partners or Complete Care members two months prior to Medicaid expiration date. + Conduct home ... Care Management Teams, Sales Teams and Nurses for Medicaid and Medicare savings Programs eligibility. + Keep up...insurance, home care environment, acute, sub-acute, long-term care setting, or managed -long term care… more
- Actalent (Syracuse, NY)
- …and other community-based programs based on the UAS-NY assessment. -Oversees caseload of managed care members. -Performs all care management activities in ... and support system. -Other duties as assigned. Skills: RN, Care Management, long-term care , medicare, medicaid...preferred. -Current RN license and registration in NYS. -Long-term care and/or managed care experience… more
- Prime Care Coordination (Webster, NY)
- iCircle is a licensed non-profit Managed Care Organization offering a health plan to individuals enrolled in Medicaid in 30 counties throughout the Western, ... scheduling information at all times. + Act as community liaison to the Plan. + Perform all other duties...Experience in completing the UAS-NY assessments in a home care / managed care setting, preferred +… more
- New York State Civil Service (Albany, NY)
- …proposals to amend the State's legislation, regulations, or one of the components of Medicaid Managed Care contracts: o Conducts research, reviews, and ... cases of first impression or novel issues related to Medicaid , health law and Managed Care...laws, rules, regulations, and agency policies. o Acts as liaison with Commission on Ethics and Lobbying in Government… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... within MAP to ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and other written materials. -… more
- New York State Civil Service (Albany, NY)
- …70.1 or Section 52.6 of the NYS Civil Service Law.Preferred Qualifications: Knowledge of Medicaid Program, Managed Care Delivery Models, Public Health Law ... Care Plan Contracting & Oversight, Bureau of Managed Care Certification and Surveillance (BMCCS), the...Articles 44 and 49. This position serves at the liaison with sister agencies to monitor compliance with the… more
- New York State Civil Service (Poughkeepsie, NY)
- …covering a caseload of 10-25 Family Care Homes. The SWA2 functions as a Family Care Home Liaison (FCHL). The SWA2 will ensure the Family Care Providers ... meets the individuals physical, medical, social, and spiritual needs.* Acts as a liaison between the Family Care Provider, the individual and the other… more
- Elderwood (North Creek, NY)
- …Payment Model (PDPM) and Case Mix Index (CMI) preferred + Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and ... RUGs categories for each individual assessment. + Acts as support/ liaison to the business office coordinator and/or designee in...in the facility. + Serves as facility contact with Managed Care providers to ensure appropriate authorization… more
- Catholic Health Services (Melville, NY)
- …(ie, Access\MS-SQL); EPIC, and other reporting and database tools. Sound knowledge of Medicaid , Medicare and managed care requirements Must be Self-directed ... and quarterly reports reflecting accurate departmental data Works with Revenue Cycle and Managed Care teams to identify and resolve issues related to timely… more
- City of New York (New York, NY)
- …individuals in a variety of settings to promote independence and well-being. The Home Care Services Program (HCSP) is a Medicaid funded program that facilitates ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- Molina Healthcare (New York, NY)
- …: 1 year customer service, provider service, or claims experience in a managed care or medical office setting. **PREFERRED EDUCATION** : Associate's Degree ... Vocational program in Managed Care or some other health ...completion. **PREFERRED EXPERIENCE** : * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid… more
- New York State Civil Service (Hawthorne, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs.* Maintains ongoing communication with med liaison /designee.* ... Disabilities, Office for Title Registered Nurse 1 Night Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- Elmcrest Children's Center (Syracuse, NY)
- …and staff meetings as needed and requested. . Work cooperatively with the Supervisor, Medicaid Managed Care Liaisons, and potential Care Manager, ... and accurate strategy for care . . Work with Supervisor and Medicaid Liaison to complete monthly schedules for visits; adhere to schedule and communicate with… more