- Molina Healthcare (Syracuse, NY)
- …with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of new ... line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services.… more
- Comunilife (Bronx, NY)
- …to the program budget. + Collaborate with HASA's Entitlement Case Manager to ensure that available benefits/entitlements are accessible to clients + Conduct ... looking for an experienced Benefits and Entitlement Specialist for its congregate program in the Bronx, El Borinquen. The El Borinquen Benefit Entitlement Specialist… more
- Molina Healthcare (Yonkers, NY)
- …services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality ... leadership and quality improvement teams. * Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. * Reviews quality referred issues,… more
- University of Rochester (Rochester, NY)
- …Informs patients of available supports as appropriate (Social Worker, Case Manager , Care Coordinator, Financial Coordinator, Chaplain, etc.) Promotes inclusive and ... 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health… more
- CenterWell (Albany, NY)
- …practice physically within the state. . Graduate of accredited MD or DO program of accredited university . Board certification or eligible to become certified (ABMS ... Medicine . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Excellent verbal and written communication skills . Superior… more
- YesCare Corp (Goshen, NY)
- …disability services. + Connect patients with severe mental illness to the Transition Manager Program at Access Supports for Living prior to their release. ... Training preferred. + Knowledge of community mental health resources, Medicaid /benefits navigation, and care coordination. **YesCare Benefits (only applicable for… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing… more
- City of New York (New York, NY)
- …need with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The DSS Medical and Health Services Office aims to improve the health and ... procedures, develop sensitive documents, including organizational charts, fillable forms, program description, reports, schedules, spreadsheets, audit response, etc; prepare… more
- City of New York (New York, NY)
- …its clients with medical, social, financial, and vocational services. The program provides financial entitlements (cash assistance, housing, subsidies, and nutrition ... job training and placement services. HASA receives requests for program admission primarily from hospitals, community agencies, physicians, correctional facilities,… more
- Northwell Health (Bay Shore, NY)
- …and action. + * Acts as a liaison with patients insurance carrier (case manager , utilization reviewer) to coordinate post hospital services and referrals. + * Makes ... * Assists in identifying patient incidents through the NYPORTS program . + * Performs any and all related duties...care. + * Keeps abreast of all changes in Medicare/ Medicaid /Commercial Insurances as it relates to the clinical documentation… more