- Global Channel Management Inc. (East Hartford, CT)
- About the job Medicaid Appeals Coordinator Medicaid Appeals Coordinator needs 2+ years of grievance or appeals experience Medicaid Appeals Coordinator ... Strong organizational and communication skills, oral and written. Working knowledge of Eligibility rules and processes and a willingness to gain an understanding of… more
- RevOne Companies (Fort Wayne, IN)
- …the intersection of healthcare and human compassion is the role of the Patient Eligibility Coordinator - a position dedicated not just to process, but to purpose. We ... seeking a committed individual to serve as a Patient Eligibility Coordinator , working directly within one of our...enrollment in federal and state assistance programs such as Medicaid , Medicare, and ACA Marketplace plans. Each interaction you… more
- Savista (Hackensack, NJ)
- …living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Eligibility Specialist works as an advocate for patients and maintains a level ... service centers, Client Facility or Outreach (Field work) locations the eligibility specialist helps to identify financial assistance programs for the uninsured… more
- D-H Lebanon-MHMH (Bennington, VT)
- …involve educating patients about their financial options, guiding them through the Medicaid eligibility criteria, and ensuring that all necessary documentation ... Engage with patients to assess their financial needs and explain the Medicaid application process, including eligibility criteria and required documentation. -… more
- NYC Health Hospitals (New York, NY)
- …*Working with Eligibility to create requested self-pay bills for Medicaid application *Work collaboratively with case management , UR, corp. Managed ... with the eligibility team on any missing, incomplete recertifications or Medicaid applications. *Submit bi-weekly Medicaid billing using EPIC or e-paces, and… more
- City of New York (Brooklyn, NY)
- …eligibility for immediate needs grant (food and non-food); for employability and eligibility for public assistance, SNAP benefits and Medicaid ; works with ... supervising a team of BOS staff, who provide various functions of eligibility determination, financial planning, and employment planning and monitoring and other… more
- Salt River Pima-Maricopa Indian Community (Scottsdale, AZ)
- …Position Summary : Under the general supervision of the Transition Ambulatory Case Management RN Supervisor (TACMRNS), the Transition Care Management RN (TCM RN) ... in this classification. Examples of Tasks Transitional RN Case Management : Oversees the care of a patient as they...including, but not limited to, Indian Health Service, Medicare, Medicaid , ALTCS, SSI, etc. Strong verbal and written communication… more
- SCO Family of Services (Brooklyn, NY)
- …necessary to gain health care services, including but not limited to: 1. Medicaid 2. Cash Assistance Eligibility 3. Social Security 4. Supplemental Nutrition ... OF THE POSITION: The Care Managers service youth who are enrolled in Medicaid , have two or more chorionic conditions, HIV/AIDS, Sickle Cell, Serious Emotional… more
- Johnston County, NC (Smithfield, NC)
- …Quality Assurance staff in the Food and Nutrition Services, Family and Children's Medicaid , and Adult Medicaid , programs. This position must have thorough ... FAST system, policy knowledge of either Family and Children's Medicaid , Adult Medicaid , and the ability to...duties may be assigned such as Shelter or Emergency Management duties during a disaster. Knowledge, Skills and Abilities… more
- Sentara Healthcare (Woodbridge, VA)
- …responsibilities: Performs a variety of casework duties and provides case management services to patients, families, and designated caregivers. Must develop, ... Long Term Care- 1 year; Health Plan- 1 year; Medicaid - 1 year REQUIRED At least one year of...an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal… more
- Apple Rehab (Mystic, CT)
- …that treats residents and staff like family too. Our expert team of senior management is located at our home office, right in Avon, CT, ensuring superior care ... and Billing systems, RFMS or other Resident Trust systems, and electronic claims management systems. Attention to detail, good follow through skills and ability to… more
- Actalent (Fort Lauderdale, FL)
- …activities as assigned. Essential Skills Clinical review Utilization review Utilization management InterQual Milliman Commercial Guidelines Medicaid Medical ... Actalent is hiring a Utilization Management Nurse! Job Description The Utilization Management...concepts, including InterQual and Milliman Criteria. Knowledge of Florida Medicaid Program and CMS Guidelines. Proficient in word processing… more
- Durham County (Durham, NC)
- …Incumbents are responsible for the total process of determining applicant/client eligibility and redetermination of Medicaid , Community Alternatives Program ... in a lead worker capacity. (2) performing the same eligibility determination functions as the income maintenance caseworker III....a variety of complex task and functions in the Medicaid programs which include performing two or more functions… more
- StateJobsNY (Brentwood, NY)
- …maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid ... to verify your identity. Name Office of Human Resources Management Telephone ### Fax ### Email Address ###@oasas.ny.gov Address...If you are a current or former NYS employee, please provide your Social Security # for verification of eligibility… more
- StateJobsNY (Orangeburg, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... 150 clock hours of relevant addictions for CASAC credential eligibility may be substituted for the one year of...to verify your identity. Name Office of Human Resources Management Telephone ### Fax ### Email Address ###@oasas.ny.gov Address… more
- StateJobsNY (Staten Island, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... individuals in identifying, developing, and practicing personalized coping and crisis management skills to deal with their psychiatric symptoms. *Interacts with… more
- Lundbeck (Edmond, OK)
- …based on customer needs and organizational goals, incorporating "total office" account management . Local Market & Therapeutic Area Expertise - Gather and validate ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability… more
- Venture Forthe, Inc (Elmira, NY)
- …the provision of all services in the Service Plan. Services may include Medicaid State Plan services, non- Medicaid federal, state and locally funded services, ... from providers, and maintain quality assurance. Employer Paid Benefits ( Eligibility Criteria) Health insurance (with employer contribution) Life Insurance Employee… more
- Lundbeck (Raleigh, NC)
- …on customer needs and organizational goals, incorporating "total office" account management where applicable. Local Market & Therapeutic Area Expertise - Gather ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Apply… more
- The Children's Village (Dobbs Ferry, NY)
- Position Overview: Reporting to the Care Management Supervisor, the Care Manager will identify and outreach potentially eligible clients, engage the families or ... and enroll the client in the Health Home Care Management program. Once clients are enrolled the Care Manager...Ongoing coordination also includes quarterly review of the child's eligibility and completing a care plan review and an… more
