- Trinity Health (Latham, NY)
- …Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding opportunity for an RN Case Manager to work out of our 385 Watervliet Shaker Road, Latham ... in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare...facility, and as may be required by the Nurse Manager of Clinical Operations, to ensure that the highest… 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
- WMCHealth (Valhalla, NY)
- …+ Maintain required documentation of work activities. + In collaboration with the case manager and care coordinator, implement the discharge review program ... Case Management Assistant Company: WMC Advanced Physician Services...preferred + Knowledge of regulatory agency standards; Centers for Medicare & Medicaid Services, and Det Norske Veritas (DNV)… more
- Molina Healthcare (NY)
- …with Medicare /Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. Bilingual ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Yonkers, NY)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and ... role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general… more
- Molina Healthcare (NY)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area;...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- CenterWell (Hauppauge, NY)
- …to sit on-site at our Hauppauge, NY branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- Adecco US, Inc. (New York, NY)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - Will be assigned a market to cover based on location ... on location Temp-to-hire **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty… more