- New York State Civil Service (Rochester, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. ... * If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made… more
- Northwell Health (Staten Island, NY)
- …companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to ... date and accurately reflect patient's clinical progress and acute needs. + * Participates in the quality management of patient care outcomes. + Submits data to management regarding case management and/or quality initiatives. + Participates in data collection… more
- New York State Civil Service (Newark, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. ... * If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …are required based on DRG/ALOS or type of care provided outside the Medicare Rate. This position includes payment reconciling for Community Care medical claims ... submitted for payment due to outsourcing of treatment for VA Hudson Valley Health Care patients in emergent situations as well as outpatient requests. The AMSA is responsible for veterans referred for care in the community under the Geriatric and Extended Care… more
- Rochester Regional Health (Rochester, NY)
- …to advocacy programs as needed. + Obtain necessary signatures, complete required Medicare forms, and maintain accurate records. + Support new staff orientation, ... attend training sessions, and participate in performance improvement initiatives. REQUIRED QUALIFICATIONS: + High School Diploma (Or equivalent) PREFERRED QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding, billing, and HIPAA. + Strong… more
- WMCHealth (Margaretville, NY)
- …award-winning 82-bed enhanced care facility. We have received a 5-Star rating from Medicare 's "Nursing Home Compare" and 5-star ratings in US News & World Report's ... Best Nursing Homes 2011, 2012, 2013, 2014, 2015 and 2016 issues. Not only is Mountainside Residential Care Center rated as one of the top nursing homes nationwide for providing excellence in care - we are also setting the pace for outstanding care and quality… more
- Bassett Healthcare (Oneonta, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc.) based ... on the missing items work-queue are made in the appropriate Bassett system within 24 hours of system notifications in accordance with standard operating procedure. Answers questions from patients regarding the organization and/or services and provides… more
- Centene Corporation (New York, NY)
- …and 2 - 4 years of related experience. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. ... **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or + LCSW- License Clinical Social Worker… more
- New York State Civil Service (NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. ... * If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made… more
- City of New York (New York, NY)
- …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs including ... the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies with regard to workforce labor issues and works with the Municipal Labor Committee (MLC) to pursue innovations in a… more