- Loretto Management Corporation (Syracuse, NY)
- …psychosocial evaluation and intervention; assessment for admission and ongoing eligibility , patient rights and advocacy function, daily case management, ... forces as requested. + Educates other team members regarding community resources, Medicaid and other social program and psychosocial issues related to client care;… more
- Cognizant (Albany, NY)
- …revenue cycle with specializing in hospital claims. *Expertise in Medicare, Medicaid , Managed Care, and Commercial payer processes. *Strong grasp of federal/state ... the following benefits for this position, subject to applicable eligibility requirements: *Medical/Dental/Vision/Life Insurance *Paid holidays plus Paid Time Off… more
- Catholic Charities of the Dioscese of Albany (Oneonta, NY)
- …individuals' lives, making a significant impact through: + Conduct screenings with Medicaid eligible individuals for services under the 1115 Waiver using the ... + Provide education to the community, referral partners, and clients regarding eligibility criteria and available services under the waiver. + Participate in all… more
- Mohawk Valley Health System (Utica, NY)
- …variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as a liaison ... + Active NY State medical license. PREFERRED: + Certification preferred or eligibility for certification in utilization management via certifying boards within 1-2… more
- City of New York (New York, NY)
- …Counsel. - Conduct case reviews of applications for cash assistance, Medicaid , and /or Supplemental Nutrition Assistance Program (SNAP) benefits and cases ... employability assessment, correct determination of benefits, valid notification of eligibility , timely referrals for various social services (Homeless Diversion… more
- Centene Corporation (New York, NY)
- …medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. ... also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed to diversity,… more
- Elevance Health (NY)
- …other locations as necessary; ability to carry a laptop bag + Familiar with Medicaid , CHP, and Essential Plan Product lines For candidates working in person or ... equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on… more
- Centene Corporation (Queens, NY)
- …orders. + Deep understanding of managed care models (HMO, PPO, Medicaid , Medicare Advantage, Duals, SNPs). + Familiarity with healthcare laws, reimbursement ... also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed to diversity,… more
- Highland Hospital (Rochester, NY)
- …include review diagnosis and history for correct insurance coverage, insurance eligibility and coverage verification using the three patient identifiers, confirming ... refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP questions, monitors… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …with regards to benefit entitlements such as SSA, SSI, SNAP, Public Assistance, Medicaid , TANF, and others, conducting advocacy as needed. + Educate residents on the ... up to date records and clients files, including clients personal and eligibility information, records of services provided, and all relevant correspondence. + Enter… more