- 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 Directions Youth and Family Services (Randolph, NY)
- …actions and conduct concerning safety and healthy working conditions. POSITIONS SUPERVISED: LPN, RN, Medicaid Managed Care Liaison , Medicaid ... dedicated to ensuring the well-being of youth in our care . You'll oversee the delivery of health and psychiatric...manage a skilled team of healthcare professionals, and coordinate care in compliance with state and organizational standards. This… 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
- Staffing Solutions Organization (Albany, NY)
- …Albany NY** **DHPCO - 1100** **Summary** This position is in the Bureau of Managed Long-Term Care (BMLTC) plan management unit. The incumbent will be responsible ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...are not limited to:** + Acting as a MLTC liaison with other units, draft correspondence, conduct project management… more
- CDPHP (Albany, NY)
- …and mail. The Medicaid Special Programs Case Manager typically works in the telephonic managed care setting but may be called on to work from a variety of ... clinical experience is required. + Previous experience working with Medicaid Long Term Care Programs preferred. +...patients with social needs preferred. + Experience in home care , medical office setting, or managed health… more
- OLV Human Services (Lackawanna, NY)
- …members to carry out the responsibilities within our Foster Care contracts and Medicaid Managed Care Plans assisting with any client and family needs ... Foster Care Coordinators of the contracted MMCPs ( Medicaid Managed Care Plans) in...**Essential Job Duties:** 1. Coordinate with the MMCP's foster care liaison /coordinator 2. Will attend all meetings… more
- VNS Health (Manhattan, NY)
- …+ Minimum five years of experience in clinical medicine, including three years in managed care , and application of evidence based medical necessity criteria and ... programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees + Opportunities for… more
- Prime Care Coordination (Webster, NY)
- iCircle is a licensed non-profit Managed Care Organization offering a health plan to individuals enrolled in Medicaid in 30 counties throughout the Western, ... scheduling information at all times. + Act as community liaison to the Plan. + Perform all other duties...Experience in completing the UAS-NY assessments in a home care / managed care setting, preferred +… 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
- Molina Healthcare (Syracuse, NY)
- …Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Medicare, Medicaid , Managed Care , Manager, Leader, Marketing, Duals, Enroll, ... community relations or health care related activities. + 3 years Managed - Care , Medicaid experience; knowledge of advertising requirements pertaining to… 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 ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...NYC** **DPDM - 1083** **Summary** The Bureau of Social Care and Community Supports works to integrate health and… 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
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing and benefits investigation 1 year of retail pharmacy experience 1… 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
- Molina Healthcare (New York, NY)
- …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… 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
- HealthEdge Software Inc (Albany, NY)
- …preferred. + Practical understanding of the healthcare system with regards to Medicare, Medicaid , managed care , and commercial payment methodologies, payment ... products (from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan operations… 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