- New York State Civil Service (Orangeburg, NY)
- …may include, but are not limited to:* Interview clients and review medical/psychiatric history, and complete various assessments as part of treatment ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- Arnot Health (Elmira, NY)
- …related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... of admission and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN) when patient's level… more
- New York State Civil Service (Orangeburg, NY)
- …Duties Description The incumbent will perform the following general duties:* Review referral agency reports, document medical histories, and perform psychiatric ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid/ Medicare … more
- WTW (New York, NY)
- …health insurance, or financial industries. More specifically, knowledge of ERISA, Medicare , banking, insurance and/or privacy laws and regulations would be helpful. ... be considered for a remote work arrangement. **The Role** + Draft, review and negotiate numerous standard and complex corporate and commercial agreements, including… more
- Surgery Care Affiliates (New York, NY)
- …guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + Obtain ... payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form. Financial Orientation: + Calculate… more
- Catholic Health Services (Rockville Centre, NY)
- …complete assigned reports and provide accurate and timely information for review by the Director of Reimbursement or their designee. DUTIES/RESPONSIBILITIES: ... care analysis, home office cost reports, budget capital reports, and various Medicare / Medicare cost report schedules, working alongside Director and Staff.… more
- New York State Civil Service (Rochester, NY)
- …procedures. * Assist with patient discharge planning, prepare discharge summaries, and review records for completeness.* As an integral part of a multi-disciplinary ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid/ Medicare … more
- New York State Civil Service (Tupper Lake, NY)
- …psychiatric illness - in a residential setting* Works with psychiatrist to review his consultations of patients with treatment team. Provides psychiatric medication ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Guthrie (Binghamton, NY)
- …through nursing-patient collaboration and patient education. This nurse performs the Medicare Annual Wellness Visit under the direct supervision of a physician ... and autonomy in nursing practice. + Preferred experience with care management/utilization review , and payer knowledge. + RN considered. Education: + Completion of an… 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 ... other staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....and approval before acting, as noted by Supervisor. May review the electronic Confirm List daily, to confirm appointments… more
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