- Human Development Services of Westchester, Inc (Port Chester, NY)
- …search required, in addition to clearance through the Protection of People with Special Needs Staff Exclusion List, the NYS Medicaid Exclusion List and ... three thousand people each year, through a unique blend of inter-related programs . HDSW has been the designated Neighborhood Preservation Company (NPC) for the… more
- CDPHP (Latham, NY)
- …requests for prior authorization received via the telephone line, fax machine and mail. The Medicaid Special Programs Case Manager typically works in the ... invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating… more
- MVP Health Care (Tarrytown, NY)
- …and continuous improvement. To achieve this, we're looking for a ** Case Manager, Medicaid Long Term Support Program ** to join #TeamMVP. If you have a passion ... years of recent clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. + Must… more
- New York State Civil Service (Hauppauge, NY)
- …juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New Yorkers, including ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… 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 ...Level I + Handles physical health member clinical management programs . + Maintains knowledge of current Case … more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department ... of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee ...programs and applications. + Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex.… more
- GMHC (New York, NY)
- …proficiency in Microsoft Excel, including: + . Data tracking and analysis for case management and program reporting. + . Creating and managing spreadsheets ... Intake Case Manager WFH Flexible * New York, NY...accurately recorded. Familiarity with government benefit systems and entitlement programs , including: + . Social Security, Medicaid ,… more
- GMHC (New York, NY)
- …in-office duties, and remote work as determined by the manager and based on program needs. Essential Job Functions The Housing Case Manager will be responsible ... records, including case notes and progress reports, to comply with program requirements. + Use spreadsheets to track progress towards housing goals and generate… more
- GMHC (New York, NY)
- …proficiency in Microsoft Excel, including: + Data tracking and analysis for case management and program reporting. + Creating and managing spreadsheets ... Housing Substance Use Case Manager WFH Flexible * New York, NY...accurately recorded. Familiarity with government benefit systems and entitlement programs , including: + Social Security, Medicaid , SNAP,… more
- Saratoga Hospital (Saratoga Springs, NY)
- …nursing background (RN) preferred. Knowledge regarding health insurance health insurance programs and/or facilitated enrollment (ie Medicaid ) a plus. Basic ... Case Management Representative Salary Range: $37-$57 About Saratoga...required. Solid working knowledge of Microsoft Office is required. Special Equipment, Skills or Other Requirements: Must be self-directed… more
- CVS Health (Albany, NY)
- …monitoring fraud related issues within the business units. - Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses ... for clinical and legal review. - Documents all appropriate case activity in tracking system. - Makes referrals and...meetings. **Required Qualifications** - 1+ years' experience working with Medicaid . - 3+ years' in healthcare field working in… more
- Heritage Ministries (Greenhurst, NY)
- …+ Paid training opportunities + Education Assistance plans + Employee pharmacy program + Special employee recognition and giveaways CONTINUOUS QUALITY ... all financial documents, explain billing procedures, and supervise the Medicaid process to ensure that the resident and/or responsible...and guidance until the process is completed and the case is opened. In cases, where there is no… 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 ... the Assisted Living Program , Care at Home Program and Homebound Medicaid . The Medicaid...of initial applications, change actions, and renewals for all Medicaid funded long term care programs . This… more
- City of New York (New York, NY)
- …They also ensure FIA programs such as Food Stamps, Cash Assistance and Medicaid operate with a high level of accuracy and integrity, monitoring these programs ... is responsible for protecting the integrity of social services programs administered by the New York City Department of...(1) Associate Staff Analyst, who will function as a Program Integrity Analyst who will: - Complete monthly reports… more
- New York State Civil Service (West Seneca, NY)
- …maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs . Continued employment will depend on maintaining eligibility. ... psychiatric care and treatment services for an assigned facility or program .* The Psychiatrist 1 will advise residential multi-disciplinary treatment teams on… more
- New York State Civil Service (Utica, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain licensure, certification ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain licensure, certification… more
- New York State Civil Service (Utica, NY)
- …be eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain certification and ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain licensure, certification… more
- New York State Civil Service (Brooklyn, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain licensure, certification ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . Failure to maintain licensure, certification… more
- Outreach Development Corporation (Brentwood, NY)
- …In this role, the intern will work in our Outreach Adolescent Residential program in Brentwood, NY. The Intern Counselor is responsible for learning the aspects ... appropriate data, orienting client to his/her rights and responsibilities and program expectations. + Complete necessary administrative procedures for admission to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare, Federal Employee Program , New York State Department of ... compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical… more