- MVP Health Care (Schenectady, 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
- Elevance Health (Latham, 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
- 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
- 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
- Molina Healthcare (Albany, NY)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... state they reside. We are looking for a RN Manager to manage a utilization management team supporting 14...of care across the continuum, including behavioral health and long -term care, for members with high need potential. HCS… 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
- Humana (Albany, NY)
- …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design,...oriented, collaborative, and able to adapt to changing use case needs. Our goal is to create safe AI… more
- Molina Healthcare (Albany, NY)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... must be licensed for the state they reside. Program Manager RN will be supporting our corporate division with...of care across the continuum, including behavioral health and long -term care, for members with high need potential. HCS… more
- Equinox, Inc (Albany, NY)
- 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 non-profit ... and an addiction that need 24/7 support. This position will be the Program Manager at our Recovery Residence. Position Summary: The Program Manager will be… more
- Molina Healthcare (Albany, NY)
- …Skills and Abilities **Preferred Qualifications:** * Bachelor's degree in Nursing * CCM- Certified Case Manager , CCP - Chronic Care Professional. * Home Care, ... business. Senior Whole Health by Molina is a Managed Long -Term Care (MLTC), and Medicaid Advantage (MAP)...experience with focus in managed care, including disease or case management * UAS experience * Experience conducting home… more
- CVS Health (Albany, NY)
- …**Dual Eligible Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions… more
- Molina Healthcare (Albany, NY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long -Term Services & Supports issues. + Identifies and reports quality of… more
- Albany Medical Center (Albany, NY)
- …and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments. ... value-based enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading, and overseeing… more