- CVS Health (Albany, NY)
- …metrics, implementing process improvements as needed. + Ensure compliance with all Medicare regulations and CVS Health policies. + Collaborate with ... At CVS Health , we're building a world of health...Clinical Reimbursement Specialists, ensuring accurate and timely qualification of Medicare patients and Medicare appeals. This role… more
- Rochester Regional Health (Rochester, NY)
- …CareLocation: West MonroeHours Per Week: 40 SUMMARY: The Licensed Practical Nurse (LPN) provides home health services to Rochester Regional Certified Home ... direction of a Registered Nurse and in compliance with Medicare , Medicaid, and NYS Department of Health ...in ongoing service education programs to remain current in home health practices and available community resources.… more
- Humana (Albany, NY)
- …focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** CMS Programs Quality Strategy Lead will support Humana through successful participation in ... CMS/CMMI (Centers for Medicare and Medicaid Innovation) Multi-Payor and Accountable Care Initiatives....Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + Flex Spending Accounts + Life… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of America) ... to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. This role… more
- Rochester Regional Health (Rochester, NY)
- …the direction of a Registered Nurse to the Rochester Regional Certified Home Health Agency (CHHA) clients per Medicare , Medicaid and NYS Department of ... Qualifications: * 1 year of nursing experienced preferred. * Prior home health , clinical and direct patient care experience preferred. EDUCATION: AS: Nursing… more
- Rochester Regional Health (Rochester, NY)
- …the direction of a Registered Nurse to the Rochester Regional Certified Home Health Agency (CHHA) clients per Medicare , Medicaid and NYS Department of ... Job Title: Community Health LPNDepartment: Home Care Location: Monroe County Hours Per Week: 40 SUMMARY: Licensed Practical Nurse will provide home health… 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). ... experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health ...participate on project teams or organizational committees. **Work at Home Guidance** To ensure Home or Hybrid… more
- Trinity Health (Syracuse, NY)
- …increase access to health care and support services. Examples include health coverage via the insurance marketplace, Medicaid, Medicare , social security ... **Employment Type:** Part time **Shift:** **Description:** **POSITION PURPOSE** A Community Health Worker (CHW) is a frontline public health worker who is a… more
- Humana (Albany, NY)
- … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health… more