- CDPHP (Albany, 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
- City of New York (New York, NY)
- …WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... 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
- New York State Civil Service (New York, 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 $94 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- New York State Civil Service (Albany, NY)
- …civil and criminal 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 $94 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public...New Yorkers who qualify enroll in public health insurance programs like Medicaid . The Helpline receives inquiries… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... HRA's telephone service center, which provides information on HRA's programs to the general public. Infoline uses both an...including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. - Screen… more
- City of New York (New York, NY)
- …EMPLOYMENT. The Medical Assistance Program (MAP) administers public health insurance programs , including Medicaid , for the City of New York. Applying ... services at little or no cost. The Medical Assistance Program (MAP) is recruiting for one (1) Eligibility Specialist...for one (1) Eligibility Specialist II to function as Medicaid Eligibility Specialist, in MAP's CREP unit, who will:… more
- VNS Health (Manhattan, NY)
- …+ Employer-matched retirement saving funds + Personal and financial wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent ... Health Plans; collaborates in the design and implementation of advanced care/ case management strategies; and communicates, with providers to ensure effective quality… more
- City of New York (New York, NY)
- …employment. Under supervision of the Ombudsman Unit Supervisor within the Medicaid Eligibility Information Services, with some latitude for independent initiative ... and judgment, the Medicaid Eligibility Specialist is responsible for interviewing ...is seeking (1) Eligibility Specialist II to function as Case Reviewer. The Case Reviewer will: -… more
- City of New York (New York, NY)
- …Description Under supervision of the Ombudsman Unit Supervisor within the Medicaid Eligibility Information Services, with some latitude for independent initiative ... and judgment, the Medicaid Eligibility Specialist is responsible for interviewing ...seeking three (3) Eligibility Specialist II's to function as Case Reviewers. The Case Reviewer will: -… more
- CVS Health (Brooklyn, NY)
- …candidates may be eligible for up to a $7,500 sign on bonus upon hire.** ** Program Overview** Help us elevate our patient care to a whole new level! Join our ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical… more
- St. Catherine's Center for Children (Menands, NY)
- CASE MANAGER, PROJECT HOST Position : Case Manager, Project HOST Type: Full-time; non-exempt Pay Range : $22.06 - $24.69 HOURLY Location: Albany, NY Job Ref. # : ... children, families and adults, including residential and therapeutic foster care programs for children and youth, Kinship support, homeless and community-based… more
- City of New York (New York, NY)
- …units deliver specialized services: Undercare, Assessment, Eviction and Preventive Service Program . The Undercare Unit is responsible for the processing of client's ... with the NYC Department of Investigation Marshals Bureau. Preventive Service Program (PSP) is responsible for maintaining services and monitors stabilized cases… more
- City of New York (New York, NY)
- …specifically related to housing and development, health and environment protection. The Special Assistant supports all community programs engaged with and by ... Special Services Officer, who will: Assist the Chief Special Services Officer in supporting all programs ...needs, goals and milestones of those who participate in Special Service program areas. Represent the Chief… more
- CVS Health (Albany, NY)
- …schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares cases for clinical and legal ... review + Documents all appropriate case activity in case tracking system +...year, depending on business needs) **Preferred Qualifications** + Previous Medicaid /Medicare investigatory experience + Exercises independent judgement and uses… more
- City of New York (New York, NY)
- …three program areas: Managed Care Client Services (MCCS), Recipient Restriction Program (RRP), and Comprehensive Medicaid Case Management (CMCM). These ... Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs , for the City of New York. Applying… 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
- New York State Civil Service (Tarrytown, 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
- City of New York (New York, NY)
- …attorney. - Compute claims, liens, and coordinates correspondence of lien request for Medicaid . Monitors case decisions and settlements, to ensure timely action ... guidance, litigation support, and direct representation to the Agency's program areas in state and federal courts and before...real property, person locators and other necessary data of Medicaid . - Review case referrals to determine… more
- VNS Health (Manhattan, NY)
- …tools, programs and other resources for potential serious illness program appropriate patients and make referral as necessary.* Provides education to patients ... and inpatient admission; approves services or consults with medical directors when case does not meet medical necessity criteria.* Ensures compliance with state and… more