- Albany Medical Center (Albany, NY)
- …physicians, physical and occupational therapists, speech and language therapists, and case managers. There are regular educational opportunities for the APP within ... a National Provider Identifier (NPI) issued by the US Center for Medicaid and Medicare services + Excellent verbal, writing, and interpersonal skills + A strong work… more
- Trinity Health (Albany, NY)
- …the Department of Health as required by law. **_Specific Activities_** + Conducts case finding by daily review of reported events and other information retrieved ... but not limited to: NYPORTS, NIMRS, Justice Center, STARS/ClearSight, Centers for Medicare and Medicaid Services (CMS) death reporting in restraints; ensuring that… more
- Albany Medical Center (Albany, NY)
- …and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments. ... provision and reimbursement of medical services including, but not limited, to Medicare and Medicaid. + Proven skills and knowledge relating to the implementation… more
- CVS Health (Albany, NY)
- …impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... NY, Broome County, NY + 2+ years' experience in medical social work or case management. + Candidate must have one of the following: Licensed Master Social Worker… more
- New York State Civil Service (NY)
- …for multiple sites and may function as a RN1 as needed.*Ensure nursing case management of multiple locations; caseload based on medical acuity.*Oversee and supervise ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Trinity Health (Schenectady, NY)
- …transportation and more!) as well as provide our participants with their Medicare /Medicaid insurance coverage. Our team of Social Workers are supported by two ... Case Workers and play a crucial role in our unique model of care. As both the provider and insurer, we have the unique ability to assess participant needs, approve… more
- Mohawk Valley Health System (Utica, NY)
- …the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health ... by the plan and services that are not a benefit of the plan ( Medicare Services). + Completes comprehensive assessment using the DOH approved tool to determine… more
- Amentum (Albany, NY)
- …Prepare analytical summaries, memoranda, charts, and data visualizations to support case development and litigation. + Summarize transaction histories and flag ... specialized experience in the specific subject matter area involved - for example, Medicare billing and claims systems, or DoD inventory systems. + Working knowledge… more
- Elderwood (Lake Placid, NY)
- …for Full-time and Part-time positions Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself an expert in assessment and reimbursement ... + Actively participate in utilization management processes, including PDPM and state case mix systems + Conduct resident interviews + Compile, monitor, and audit… more
- Highland Hospital (Rochester, NY)
- …is documented for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and ... validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization… more