- 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
- MyFlorida (Tampa, FL)
- …(https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: Human Services Program Specialist - Career Service WORKING TITLE: Medicaid ... conducting medical necessity reviews for individuals served through the Medicaid waiver program , processing cost plan amendment...of the documents being submitted for assigned part of Medicaid Waiver consumer case load. + Performs… 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 (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
- Mayo Clinic (Jacksonville, FL)
- …succeed. **Responsibilities** Facilitates and coordinates the orientation and staff development programs for the case management staff. Participates in ... or equivalent certification **Qualifications** Graduate of a Bachelor's degree in nursing program . 2 years of hospital-based case management, including discharge… more
- Elevance Health (Des Moines, IA)
- …of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred. + Previous work experience with ... **Community Health Care Case Worker** **Location:** Field Base Position The **Community...services and policies. + Supports and promotes State Sponsored Programs through participation in community events. + Represents State… more
- CVS Health (Jersey City, NJ)
- …comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ ... health care more personal, convenient and affordable. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in Hudson County and… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource ... expert level at all the objectives delineated in the Case Manager and Case Manager Certified job...and families and works with the leadership team for special project activities related but not limited to, throughput,… more
- CVS Health (Springfield, IL)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... activities. Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall… more
- Fallon Health (Worcester, MA)
- …the behavioral health/mental health setting required. + Experience with government programs , community resources, case management, substance use disorders and/or ... to coordinated, integrated care for our members with a special focus on those who qualify for Medicare and Medicaid . We also serve as a provider of care through… more
- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. **Position** **Summary** Program Overview Help us elevate our patient care to a whole new ... 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
- Little City Foundation (Grayslake, IL)
- Case Manager- Grayslake Job Details Job Location Grayslake...needed to meet goals, objectives, or participation in a program or special event. 12. Serve as ... To Apply for the position: Follow this link and type in Case Manager- GraysLake in the search Engine: https://littlecity.org/careers/. PURPOSE: The Case… 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
- Child & Family Services of RI (Middletown, RI)
- …Department of Behavioral Health, Developmental Disabilities & Hospitals (BHDDH) to provide case management services to participants who are part of the Conflict Free ... Case Management Model. The Case Manager provides...using a person-centered approach and under the guidelines of Medicaid Long Term Supports and Services and BHDDH. The… more