- Rochester Regional Health (Rochester, NY)
- Job Title: Care Manager - Registered NurseDepartment: Rochester Regional Hospital Location: Rochester Regional Hospital Hours Per Week: 40Schedule: M-F (8:00 AM- ... other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager , your excellent interpersonal, leadership and collaboration skills ensure the appropriate… more
- Healthfirst (NY)
- …Medicare, Medicaid and//or Managed Long-Term Care Plan (MLTCP) Experience working as a case manager for a long-term care programs such as PACE, MAP or MLTC ... Strong understanding of value-based care principles and their application to MLTC populations Experience accessing and maintaining patient health information (PHI) electronically in a shared network Strong computer skills, including, but not limited to word… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
- GMHC (New York, NY)
- …responsibilities, ensuring that Housing Case Managers, as well as potentially the Intake Case Manager , Mental Health Counselor, and Substance Use Case ... standard of service delivery and adherence to contractual obligations. + Lead case conferences involving housing case managers, clients, and external providers… more
- City of New York (New York, NY)
- …diagnosed with HIV or AIDS. Among the services provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition ... criteria last year to include the provision of HASA case management services to all persons diagnosed with HIV....case transactions to be reported to the Regional Manager . - Provide primary oversight and final approval/ disapproval… more
- Helio Health Inc. (Rochester, NY)
- …position and also take into account information provided by the hiring manager and program. IND123B Job LocationsUS-NY-Rochester Category Case /Care Management ... management and coordination of services to Health Home enrollees and eligible Medicaid / Medicaid Managed Care community members. The Health Home Care Coordinator… more
- City of New York (New York, NY)
- …based on Local Law 49 and the Henrietta D. versus Giuliani Federal court case , to ensure that HASA clients are serviced promptly. HASA provides intensive case ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - ... the Health Plan regions Essential Accountabilities: Level I * Educates Medicaid , Medicare, and Commercial members on healthcare benefits, and community resources… more
- Caz Recovery (Appleton, NY)
- …This position also includes some responsibility in assisting the Reintegration Manager with oversight of day-to-day responsibilities. * Is responsible for the ... of the service programming in conjunction with the Reintegration Manager , as well as carrying a small caseload. *...members. * Oversees the maintenance of the program's individual case records in compliance with agency policy and licensing… more
- Datavant (Albany, NY)
- …productivity and quality.** + Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and return on investment ... train other junior analysts in support of their direct manager What you will bring to the table: +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
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