- MVP Health Care (Rochester, 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
- Lifespan (Rochester, NY)
- …and helping plan and maintain long -term financial security of clients. The case manager is responsible for processing Social Security, Medicaid and ... Case Manager -Financial Services Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description STATUS: Full-time (37.5… 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 Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- Molina Healthcare (Rochester, 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
- University of Rochester (Rochester, NY)
- …satisfaction + Informs patients of available supports as appropriate (Social Worker, Case Manager , Care Coordinator, Financial Coordinator, Chaplain, etc.) + ... 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health… more
- University of Rochester (Rochester, NY)
- …appointments, treatment planning, financial arrangements, and approval phase until case completion. **ESSENTIAL FUNCTIONS** + Exercising tact, initiative, and ... insurance approvals. Acts as a resource to patients and care providers of Medicaid approval process and other 3rd party billing issues. Collaborates with all members… more
- University of Rochester (Rochester, NY)
- …treatment planning, financial arrangements, and approval phase until case completion. RESPONSIBILITIES: Exercising tact, initiative and independent judgment ... insurance approvals. Acts as a resource to patients and care providers of Medicaid approval process and other 3rd party billing issues. Collaborates with all members… more
- University of Rochester (Rochester, NY)
- …satisfaction - Informs patients of available supports as appropriate (Social Worker, Case Manager , Care Coordinator, Financial Coordinator, Chaplain, etc.) - ... 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health… more
- University of Rochester (Rochester, NY)
- …satisfaction Informs patients of available supports as appropriate (Social Worker, Case Manager , Care Coordinator, Financial Coordinator, Chaplain, etc.) ... 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health… more