- Highland Hospital (Rochester, NY)
- …information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and ... assessment or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination of… more
- Lakeview Health Services (Geneva, NY)
- …and objectives. + Develop and revise support services plans upon enrollment, review every 6 months, and following significant changes in functioning/life events, if ... + Assist with linkage to benefits to include but not limited to: + Medicaid/ Medicare + SSI/SSD + Public Assistance + Link individuals with community resources +… more
- Kaleida Health (Buffalo, NY)
- …provides reimbursement planning and is responsible for key decision-making related to Medicare , Medicaid, and other Third Party Payors to ensure payment. Provides ... - Sedentary (10 lbs)** **Job Details** Department: HPTE SNF Utilization Review Standard Hours Bi-Weekly: 75.00 Weekend/Holiday Requirement: No On Call Required:… more
- Molina Healthcare (NY)
- …MTM Pharmacy Services staff work to ensure that Molina members have access to Medicare Star medications and those meds are used in a cost-effective, safe manner. ... clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing… more
- Arnot Health (Elmira, NY)
- …interpretation of regulatory standards, including The Joint Commission and Centers for Medicare and Medicaid Services (CMS); ensures a constant state of readiness; ... and expertise to hospital administration's policy and procedure committee with scheduled review and update to appropriate policies and access to all relevant… more
- New York State Civil Service (Queens Village, NY)
- …treatment plans that include goals and objectives.* Participating in case review to present clinical observations and suggest treatment programs.* Conducting ... individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program.)… more
- New York State Civil Service (Tupper Lake, NY)
- …of plan of care.* Participate in psychiatric peer review meetings as well as specialized team meetings.LinkedIn: ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… 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
- New York State Civil Service (Commack, 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
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare . Keeps front-end administrators up-to-date with payer changes or guidance. -… more