- MVP Health Care (Tarrytown, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to ... Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or... Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
- Molina Healthcare (Yonkers, NY)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... denial decisions. * Resolves escalated complaints regarding utilization management and long -term services and supports (LTSS) issues. * Identifies and reports… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of all Minimum… more