- CDPHP (Latham, NY)
- …requests for prior authorization received via the telephone line, fax machine and mail. The Medicaid Special Programs Case Manager typically works in the ... invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating… more
- MVP Health Care (Rochester, NY)
- …and continuous improvement. To achieve this, we're looking for a ** Case Manager, Medicaid Long Term Support Program ** to join #TeamMVP. If you have a passion ... years of recent clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. + Must… more
- New York State Civil Service (Hauppauge, NY)
- …juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New Yorkers, including ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… 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 ...Level I + Handles physical health member clinical management programs . + Maintains knowledge of current Case … 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 ...programs and applications. + Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex.… more
- GMHC (New York, NY)
- …proficiency in Microsoft Excel, including: + . Data tracking and analysis for case management and program reporting. + . Creating and managing spreadsheets ... Intake Case Manager WFH Flexible * New York, NY...accurately recorded. Familiarity with government benefit systems and entitlement programs , including: + . Social Security, Medicaid ,… more
- GMHC (New York, NY)
- …in-office duties, and remote work as determined by the manager and based on program needs. Essential Job Functions The Housing Case Manager will be responsible ... records, including case notes and progress reports, to comply with program requirements. + Use spreadsheets to track progress towards housing goals and generate… more
- GMHC (New York, NY)
- …proficiency in Microsoft Excel, including: + Data tracking and analysis for case management and program reporting. + Creating and managing spreadsheets ... Housing Substance Use Case Manager WFH Flexible * New York, NY...accurately recorded. Familiarity with government benefit systems and entitlement programs , including: + Social Security, Medicaid , SNAP,… more
- New York State Civil Service (Brooklyn, NY)
- …for hire under the Hiring for Emergency Limited Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have:* Bachelor's degree in ... HELP Yes Agency Mental Health, Office of Title Intensive Case Manager (NY HELPS), New York City Children's Center,...maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . If you receive… more
- CVS Health (Albany, NY)
- …and more compassionate. And we do it all with heart, each and every day. ** Program Summary:** Join our Aetna care management team as we lead the way in providing ... will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in...(DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you… more
- CVS Health (Albany, NY)
- …day. **Job Summary:** The Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who ... of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring… more
- WMCHealth (Valhalla, NY)
- Case Management Assistant Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care ... Details: Job Summary: The candidate works closely with the case management team and completes tasks in discharge planning... manager and care coordinator, implement the discharge review program mandated by New York State Department of Health… more
- Saratoga Hospital (Saratoga Springs, NY)
- …nursing background (RN) preferred. Knowledge regarding health insurance health insurance programs and/or facilitated enrollment (ie Medicaid ) a plus. Basic ... Case Management Representative Salary Range: $37-$57 About Saratoga...required. Solid working knowledge of Microsoft Office is required. Special Equipment, Skills or Other Requirements: Must be self-directed… more
- CVS Health (Albany, NY)
- …and every day. **Job Purpose and Summary** As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a ... of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring… more
- Molina Healthcare (Yonkers, NY)
- …procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- Molina Healthcare (Rochester, NY)
- …health coverage audit policies and be able to apply them in ensuring program compliance via payment integrity programs . The position must have the ... will ensure the Manager is aware of any major case developments, and ensure cases are being investigated according...fraud investigations + Knowledge of Managed Care and the Medicaid and Medicare programs as well as… more
- Heritage Ministries (Greenhurst, NY)
- …+ Paid training opportunities + Education Assistance plans + Employee pharmacy program + Special employee recognition and giveaways CONTINUOUS QUALITY ... all financial documents, explain billing procedures, and supervise the Medicaid process to ensure that the resident and/or responsible...and guidance until the process is completed and the case is opened. In cases, where there is no… 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 ... the Assisted Living Program , Care at Home Program and Homebound Medicaid . The Medicaid...of initial applications, change actions, and renewals for all Medicaid funded long term care programs . This… more
- Outreach Development Corporation (Brentwood, NY)
- …In this role, the intern will work in our Outreach Adolescent Residential program in Brentwood, NY. The Intern Counselor is responsible for learning the aspects ... appropriate data, orienting client to his/her rights and responsibilities and program expectations. + Complete necessary administrative procedures for admission to… more
- New York State Civil Service (Queens Village, NY)
- …be eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain certification and ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain licensure, certification… more