- 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)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of care across the continuum, including behavioral health and long term care, for members with high need potential....knowledge on Medicare /Dual Special Needs Populations DSNP, and Medicaid Advantage Plus -FIDE /HIDE DSNP are highly preferred.… more
- Molina Healthcare (Rochester, NY)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... an integrated delivery of care across the continuum, including behavioral health and long -term care, for members with high need potential. HCS staff work to ensure… more
- University of Rochester (Rochester, NY)
- …of education and experience required. + 2-3 years' experience as a psychiatric case manager ; or an equivalent combination of education and experience, preferably ... patients (0-21 years) who reside in the greater Rochester region. The service accepts Medicaid , Managed Care Medicaid , and private insurance plans and offers a… 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)
- …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
- 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)
- …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