- 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
- MyFlorida (West Palm Beach, FL)
- …(https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Career Service WORKING TITLE: Medicaid ... responsibility for conducting medical necessity reviews for individuals served through the Medicaid waiver program , processing cost plan amendment requests for… 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
- Elevance Health (NC)
- …management telephonically and/or through home visits within the scope of licensure for special programs like Foster Care. + Assess and identify appropriate ... _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young… 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
- CVS Health (Springfield, IL)
- …Chicago. **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm CST. **Position Summary/** ** Program Overview** Help us elevate our patient care to a ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to… more
- Highmark Health (Dover, DE)
- …a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral ... working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to… more
- Fallon Health (New Bedford, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive ... Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an...determine the number of hours' members require for MassHealth programs such as the personal care attendant program… more
- CVS Health (Springfield, IL)
- …Park and surrounding areas.) **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm CST. ** Program Overview** Help us elevate our patient care to a whole ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to… more
- WestCare Foundation (Fort Lauderdale, FL)
- …Type Full Time Education Level 4 Year Degree Description Position Summary: The Case Manager plays a vital role in supporting children and families involved in ... risk of removal from their homes due to abuse, neglect, or abandonment. Case Manager is responsible for implementing the Florida Child Welfare Practice Model,… more
- BayCare Health System (New Port Richey, FL)
- …also be required to conduct urine drug screening and transport clients, depending on the program . + Some programs may also require a 24 hour on-call rotation. ... one year of employment. Preferred for all case managers. + **Targeted Case Managers required to bill Medicaid .** **Benefits:** + Benefits (Health, Dental,… more
- Louisiana Department of State Civil Service (LA)
- …is to investigate and prosecute health care providers who have defrauded the Medicaid program . The MFCU also investigates and prosecutes allegations of abuse, ... and regulations related to health care and the facilities, particularly in the Medicaid program ; + Experience in criminal investigations; + Experience in… more
- Little City Foundation (Schaumburg, IL)
- …or group skills training as needed to meet goals, objectives, or participation in a program or special event. 12. Serve as an advocate for people with ... Year . To Apply for the position: Follow this link and type in Case Manager- in the search Engine: https://littlecity.org/careers/. PURPOSE: The Case Manager is… more
- CVS Health (Wayne, NJ)
- …Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address identified ... 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
