- GMHC (New York, NY)
- …with government benefit systems and entitlement programs, including: + Social Security, Medicaid , SNAP, and Housing Assistance Programs. + Ability to navigate online ... portals and submit required client documentation. Strong documentation and compliance skills, ensuring: + Accurate case notes and service plans in adherence to regulatory requirements. + Confidentiality and compliance with HIPAA and other legal protections… more
- Sodus Rehab & Nursing Center (Cortlandt, NY)
- …in internal audits as directed + Possess a strong knowledge of Medicare, Medicaid and other payment sources and their responsibility in the SNF setting + ... Maintains current professional knowledge of practice of Occupational Therapy and practices within acceptable professional standards + Maintains confidentiality of facility and resident information + Respects all residents all resident rights + Reports all… more
- Ultimate Care Inc (Congers, NY)
- …in home care or a related field + Knowledge of Medicare and Medicaid regulations + Excellent assessment and critical thinking skills + Strong communication and ... interpersonal skills + Ability to work independently and manage time effectively + Flexible Schedule We are offer comprehensive benefits for Full-Time employees! We offer the Ultimate employee perks (literally)! + Health, Vision, Dental Benefits + Emblem Care:… more
- Concern For Independent Living (Port Jefferson, NY)
- …care as well as regulatory guidelines, including OMH's licensed program requirements and Medicaid billable services, such as: + the provision of 6 services monthly ... to each client + Service Plans and Reviews according to due date requirements + the obtainment of Physician Authorizations according to due date requirements + Maintain up-to-date tracking systems of all documentation due dates to ensure compliance. + Complete… more
- CP Unlimited (Fishkill, NY)
- …improve service delivery quality and cultural competence. Responsibilities: + Work with Medicaid Members to connect them to the appropriate services to address their ... HRSNs that align with the Members' preferences, limitations, disabilities, etc. + Provide outreach, eligibility assessment, referral management, care coordination, and education. Confirm with the Member whether the referral was accessed and whether their needs… more
- Molina Healthcare (Yonkers, NY)
- …and have a high level of customer service. Previous experience in Medicare, Medicaid , and/or Managed Care is very helpful. Top notch communication skills, both ... written and verbal are essential. Experience using Genesys and/or Sales Force software is a plus! Bilingual in Mandarin or Cantonese needed! **Job Summary** Responsible for continuous quality improvements regarding member engagement and member retention.… more
- Molina Healthcare (Rochester, NY)
- …not limited to, phone, chat, email, and off phone work supporting our Medicaid , Medicare and/or Marketplace business. * Conduct varies surveys related to health ... assessments and member/provider satisfaction. * Accurately document pertinent details related to Member or Provider inquiries. * Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time… more
- WMCHealth (Kingston, NY)
- …are correct, accurate and complete before sending to medical records. + Verifies Medicaid and arranges ambulance transportation. + Participates as part of the team, ... in crisis situations, to maintain patient and department safety. + Participates in environmental and safety rounds of the department to ensure compliance with regulation and hospital policies. Helps facilitate resolution when issues are identified on rounds. +… more
- Molina Healthcare (Buffalo, NY)
- …standards and requirements established by the Centers for Medicare and Medicaid . **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into ... information system and prepares documentation for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests… more
- City of New York (New York, NY)
- …non-food); for employability and eligibility for public assistance, SNAP benefits and Medicaid ; works with applicants to remove barriers to employment and makes ... referrals to other services as needed. - Prepare daily and weekly statistical reports on work performed as well as monthly audits. - Assist with case consultation on individual cases and guidance on difficult cases in the case planning process as necessary. -… more