- HCR Home Care (Rochester, NY)
- …able to problem - solve effectively. + Possess es knowledge of the Medicare /Medicaid guidelines governing home health agencies. + Organized, detail-oriented ... role has shared responsibility for the overall provision and coordination of home health services provided to the HCR patients according to acceptable standards… more
- Humana (Albany, NY)
- …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , ...The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in home care and Long-term care services, ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...day needs, + Care adjustment to help members stay home , + No need for referrals Candidate Requirements: +… more
- Centene Corporation (Bronx, NY)
- …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- Staffing Solutions Organization (Albany, NY)
- …**Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting ... Consideration for 100% remote work may be given based on the candidate's home location and alignment with business needs. **Duties:** In this position within the… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
- Preferred Home Care of New York (Brooklyn, NY)
- …Coordinator for our Brooklyn Corporate Office who understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance, ... Home Care Intake Coordinator Summary **Title:** Home...PTO + Sick Days + Paid Legal Holidays + Health , Dental, and Vision Insurance Offered + 401(k) +… more
- Humana (Albany, NY)
- …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare /Medicaid and Waiver requests. The ... collaborative relationships with Team and key partners within the Medicare Line of Business.** + **Support Home ...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more