- 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
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for you, we encourage you to apply! 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
- Rochester Regional Health (Rochester, NY)
- …ManagerDepartment: Health Information Management Location: Alex Park SUMMARY: The Financial Case Manager is responsible for reviewing uninsured and under-insured ... per policy for hospital and clinical accounts. * Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements,… more
- Deloitte (Rochester, NY)
- Health Actuary Consulting Manager Human Capital Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape ... on October 31, 2025. Work you'll do As a Manager in Deloitte Human Capital, you will provide strategic...Risk adjustment mechanisms + Group insurance products including disability, long term care, etc. + Mergers and Acquisitions +… 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)
- …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