- 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
- 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
- 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)
- …with government programs such as Medicare Advantage Organization (MAO) or Medicaid in one or more of the following areas: Operations, Product, Compliance or ... it all with heart, each and every day. **Position Summary** The D-SNP Program Manager will play a critical role in ensuring annual readiness, regulatory compliance,… more
- New York State Civil Service (Albany, NY)
- …in addition to on-the-job training activities, prior to completing the traineeship.55-bc Program : The Governor's Programs to Hire Individuals and Veterans with ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...Disabilities consist of two specialized programs : the 55-b and the 55-c Program .… more
- CVS Health (Albany, NY)
- …and more compassionate. And we do it all with heart, each and every day. ** Program Overview** Join our Aetna team as we lead the way in providing exceptional care ... will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in...(DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and… more
- The Salvation Army (Saratoga Springs, NY)
- …Monitor CM team's data entry and complianceCare Manager Responsibilities:* Provide case /care management to Medicaid Members seeking assistance from Salvation ... team and as the direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs). Senior...Salvation Army sites as needed* Engage Corps leadership team, case management staff and food program staff… more
- Capital Region BOCES (Albany, NY)
- LOCATION: Special Education & Career & Technical Education Buildings BASIC FUNCTION: Employees in this class have immediate responsibility for the direction and ... supervision of school nursing personnel within all BOCES programs engaged in a variety of school nursing activities....the school administrator in planning the overall school nursing program . Employees confer with the school administrator in the… more
- New York State Civil Service (Albany, NY)
- … administered by OTDA and other Executive agencies (eg, the Department of Health's Medicaid program , the Office of Children and Family Services' foster care and ... childcare programs , and the Office for People with Developmental Disabilities...facts and evidence.* Analyzes data to discover facts in case . Research laws, regulations, policies, and precedent decisions to… more
- Schenectady City School District (Schenectady, NY)
- …in performance of their duties. Activities may include Individualized Education Program (IEP) development, Medicaid billing, report writing, and treatment ... selected through an evidence-based decision-making process; + Engage in designing schoolwide programs that employ a continuum of service delivery models in the least… more
- St. Catherine's Center for Children (Albany, NY)
- CHILDREN'S HEALTH HOME CARE MANAGER Location: Albany, NY Program : Community Outreach & Care Coordination (Health Home) Type: Full-time / Non-Exempt Pay Range: ... throughout the region. Position Overview Following the Children's Health Homes Care Management program guidelines as set forth by the NYS Department of Health, the… more
- Trinity Health (Albany, NY)
- …will have 3-5 years in risk management / patient safety experience. ** SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:** Strong written and oral communication ... Supports the education components of the facility's risk management program . Promotes the organizational patient safety initiatives. **LOSS PREVENTION/PATIENT… more