- Cardinal Health (Albany, NY)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while… more
- Trinity Health (Schenectady, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Rotterdam) Eddy SeniorCare has a rewarding ... opportunity for a full time RN Care Manager to manage a caseload of patients and help...the Elderly (PACE)--a unique model that is both the Medicare /Medicaid insurer and healthcare provider--giving us maximum ability to… more
- Northwell Health (Staten Island, NY)
- …companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to ... management of patient care outcomes. + Submits data to management regarding case management and/or quality initiatives. + Participates in data collection regarding… more
- Living Resources (Albany, NY)
- Community Living Case Manager (QIDP)/Intake Coordinator Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12203) Job Type Full-time Description Living ... program and necessary admission/discharge requirements + Knowledge of Medicaid, Medicare , SNAP and Social Security benefits and applications/certifications for each… more
- Cardinal Health (Albany, NY)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Cardinal Health (Albany, NY)
- …benefit investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, ... preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred + Important to have a strong attention to detail **TRAINING AND WORK… more
- Molina Healthcare (Syracuse, NY)
- …preferred. Proficient knowledge of MS Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume environment, possess ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- The New Jewish Home (Mamaroneck, NY)
- …Home ,Sarah Neuman campus in Westchester,is currently seeking a Full Time RAUM Manager to join their team! Job Summary Responsible for accurate and thorough ... Demonstrates understanding of MDS requirements related to various payers including Medicare , Managed Care, Commercial Plans and Medicaid. + Ensures that… more
- Molina Healthcare (NY)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Molina Healthcare (NY)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position...members on Waiver program. This position will have a case load and manage members enrolled in this program.… more
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