- Molina Healthcare (Akron, OH)
- …member outreach (telephonically and/or face-to-face). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. ... work on telephonic population health initiatives such as supporting Medicaid members that have a waiver, making outreach to...members to CCEs, the Ohio RISE Plan,or Molina Care Management if the members needs indicate a higher level… more
- Carle Health (Urbana, IL)
- …Specific Job Function** Assess patients who are uninsured/under-insured for IL Medicaid eligibility and/or Carle Financial Assistance Program eligibility ... informed of problematic cases, especially those involving legal or risk management issues. Provides assistance and advocacy to patients in obtaining financial… more
- Baylor Scott & White Health (Dallas, TX)
- …is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the appropriate board. The ... of care. + Counsels patients and families regarding medical processes, management of the health illness/condition, medication, nutrition, and health promotion.… more
- Baylor Scott & White Health (Round Rock, TX)
- …no matter where you are on your journey. For full details on coverage and eligibility , visit the Baylor Scott & White Benefits Hub to explore our offerings, which ... may include: + Immediate eligibility for health and welfare benefits + 401 (k)...billed as an independent provider, recognized by Medicare and Medicaid . The Advanced Practice Provider provides medical care based… more
- New York State Civil Service (Buffalo, NY)
- …maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid ... maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid… more
- New York State Civil Service (Queens Village, NY)
- …maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid ... maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid… more
- New York State Civil Service (West Seneca, NY)
- …Participate in 1st & 2nd Step Reviews, as assigned.* Provide backup support for eligibility Medicaid Fair Hearings * Provide assistance with triage of ... using NYS Mental Hygiene Law and OPWDD guidelines.* Participate in the Medicaid Fair Hearing process regarding Eligibility ; this includes preparing, reviewing,… more
- City of New York (New York, NY)
- …for clients and their representatives to address problems or complaints related to Medicaid eligibility decisions, with the goal of reducing the number of ... - York State Department of Social Service regulation. - Review determinations on Medicaid eligibility made by lower-level supervisors in Hoepita1 eligibility … more
- CVS Health (Lansing, MI)
- …compassionate. And we do it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ... external constituents in the coordination and administration of the utilization/benefit management function. **Required Qualifications** + 3+ years of experience as… more
- CVS Health (Lansing, MI)
- …And we do it all with heart, each and every day. **Utilization Management Nurse Consultant** Fully Remote- WFH **Position Summary** Utilizes clinical experience and ... external constituents in the coordination and administration of the utilization/benefit management function. **Required Qualifications** + 3+ years of experience as… more