- 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 (Schenectady, 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
- 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
- Molina Healthcare (Albany, 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 (Albany, 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
- St. Catherine's Center for Children (Albany, NY)
- SUPERVISOR, OCCUPATIONAL THERAPY SERVICES Program : Special Education/Day Treatment (R&E May School) Type : Part-time; Non-Exempt Pay Range : $30.00 - $40.00 ... families and adults, including residential and therapeutic foster care programs for children and youth, Kinship support, homeless and...daily notes completed by the COTA + Complete quarterly Medicaid notes on case load and sign… more
- Humana (Albany, NY)
- …and independence, while using a multidisciplinary team. This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care Managers are ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...This is a very compliance driven and highly visible program at Humana. The nature of the work requires… more
- New York State Civil Service (Schenectady, NY)
- …eligibility for full and unconditional participation in the Medicare and Medicaid programs . Continued employment will depend on maintaining eligibility.* ... with interdisciplinary team members to promote optimal health outcomes. The Nursing Case Manager also serves as a liaison between medical providers, clinic staff,… more
- Capital Region BOCES (Albany, NY)
- LOCATION: Special Education & Career & Technical Education Buildings BASIC FUNCTION: Employees in this class have immediate responsibility for the direction and ... supervision of school nursing personnel within all BOCES programs engaged in a variety of school nursing activities....the school administrator in planning the overall school nursing program . Employees confer with the school administrator in the… more
- Schenectady City School District (Schenectady, NY)
- …in performance of their duties. Activities may include Individualized Education Program (IEP) development, Medicaid billing, report writing, and treatment ... selected through an evidence-based decision-making process; + Engage in designing schoolwide programs that employ a continuum of service delivery models in the least… more
- Molina Healthcare (Albany, NY)
- …* Excellent customer service skills. * Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over ... Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy… more