- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- New York State Civil Service (New York, NY)
- …the successful direction of mid and high-level professional staff is desirable. Experience with Managed Long-Term Care and/or Medicaid Fee For Service long ... HELP No Agency Health, Department of Title Director of Medicaid Long Term Care Policy (Health Program...and Department of Labor. They will be the primary liaison with the DOH Division of Legal Affairs on… more
- City of New York (New York, NY)
- … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health...Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care … more
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the...and guidelines. - Participate in meetings and act as liaison with MAP staff involved in developing Medicaid… more
- Allaire Rehab & Nursing (Edison, NJ)
- …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid ). + Provide assistance with ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… more
- City of New York (New York, NY)
- …OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- Staffing Solutions Organization (New York, NY)
- …accordance with State and Federal guidelines. **Responsibilities include:** + Act as a liaison between the Social Care Networks and other stakeholders. This ... Senior Healthcare Program Specialist - Social Care & Community Supports New York, NY, USA...LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...to drive performance for value-based contracts for Medicare Advantage, Managed Medicaid and Commercial arrangements. * Support… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... within MAP to ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and other written materials. -… more
- BronxCare Health System (Bronx, NY)
- …and practice patterns as required. - Acts as patient advocate. - Dialogues with home care liaison practitioner or managed care organization. Follows up ... transition through all levels of care . - Maintain knowledge of Managed Care requirements, DRG, insurance benefits, IPRO regulations and nationally recognized… more
- City of New York (New York, NY)
- …individuals in a variety of settings to promote independence and well-being. The Home Care Services Program (HCSP) is a Medicaid funded program that facilitates ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- VNS Health (Manhattan, NY)
- …requiredKnowledge of federal and state health care regulations related to Medicare, Medicaid , managed care , and long term care preferredEffective ... OverviewCoordinates enrollment assessment and reassessment activities for VNS Health Managed Long Term Care plan and other health plans, as needed. Works under… more
- City of New York (New York, NY)
- …of public and commercial payors at the federal and state levels, and the evolution of managed care - Value-based care and Alternative Payment Models. - Price ... the most impacted NYC communities. CHECW addresses inequity across community and health care systems in partnership with community, faith-based, and health care … more
- Centers Plan for Healthy Living (Staten Island, NY)
- …from referral sources and prospective enrollees. + Process qualified referrals for Medicaid -eligible individuals needing Managed Long-Term Care + Accurately ... and provide services to walk-ins. + Function as a liaison between departments to help identify and capture prospect's...the benefits of CPHL Managed Long Term Care Plan to eligible beneficiaries and their families in… more
- Hackensack Meridian Health (Hackensack, NJ)
- …patient accounting/revenue cycle operations or relevant experience/training. + Demonstrated knowledge of Managed Care Contracts, Medicare, and Medicaid . + ... accuracy and proper revenue recognition. + Acts as a liaison with other departments to adjust or reconcile financial...verifies validity of daily credit card chargeback. + Reconciles Managed Care , Medicare and other Governmental payments… more
- Centene Corporation (New York, NY)
- …relations, provider claims/reimbursement, or contracting experience. Knowledge of health care , managed care , Medicare or Medicaid . Bachelor's degree in ... as primary contact for providers and act as a liaison between the providers and the health plan +...Complies with all policies and standards **Acts as a liaison between Tier II providers (large PCP groups not… more
- New York State Civil Service (Brooklyn, NY)
- …and various clinical staff as necessary.*Advocate for individuals' health care needs.*Maintains ongoing communication with med liaison /designee.*Provides support ... for Title Registered Nurse 2 (Community) (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 20 Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Bronx, NY)
- …staff from outside entities and management. The incumbent will also be the liaison for the Performance Evaluation program. Incumbent will perform other tasks as ... eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.* If you… more
- Acacia Network (New York, NY)
- …services covered. Coordinate with the Benefits department to ensure client financial status via Medicaid and other managed care funding source. May need to ... Women) Position Type: Full Time Details: Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community, from children to seniors,… more