- Helio Health Inc. (Utica, NY)
- …services for individuals who are Medicaid Eligible and/or have active Medicaid . + Conduct eligibility screenings and Health Home enrollment. + ... Helio Health, Inc., the Health Home Care Manager will provide comprehensive care management and coordination of services to Health Home enrollees and eligible … more
- Helio Health Inc. (Rochester, NY)
- …services for individuals who are Medicaid Eligible and/or have active Medicaid . + Conduct eligibility screenings and Health Home enrollment. + ... of Helio Health, Inc., the Health Home Care Coordinatorwill provide comprehensive care management and coordination of services to Health Home enrollees and eligible … more
- CVS Health (Surfside, FL)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or ... activities that may include, but are not limited to, database management , and contract coordination. + Performs credentialing support activities as needed.… more
- Henry Ford Health System (Troy, MI)
- …and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare- Medicaid Program (MMP), and Medicaid lines of business. Analyst ... appeals and grievances following established guidelines from: The Center for Medicaid and Medicare Services (CMS), MAXIMUS Federal Services, Department of Labor… more
- Ascension Health (Austin, TX)
- …8 hour day shift, Monday - Friday, Remote + **Facility:** Ascension Care Management Insurance + **Salary:** $75,295.00 - $104,957.00 (per year) Must reside in ... to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors...claims to ensure payment accuracy and adherence to state Medicaid guidelines. + Responsible for the comprehensive research and… more
- City of New York (New York, NY)
- …of the Prenatal Care Assistance Program (PCAP) section involved in the Medicaid eligibility processing and determination of applications for pregnant women. ... activities for review by the Director and senior level management . - Train staff to ensure that PCAP presumptive.... - Train staff to ensure that PCAP presumptive eligibility and Medicaid eligibility actions… more
- Astor Services (Poughkeepsie, NY)
- …in a timely and accurate manner by effectively utilizing designated Care Management Portal ( Medicaid Analytics Performance Portal; MAPP) and Electronic Health ... and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility , Social Security, SNAP, housing, legal… more
- Humana (Burlington, IA)
- …payer sources, providers, and interdisciplinary care teams. + Educates members in maintaining Medicaid eligibility . + Assist with entry of annual Level of Care ... + Two (2) years of prior experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed… more
- WellSense (Boston, MA)
- …across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, ... and clinical interventions to monitor outcomes.** **.** **Provides project management oversight for SUD-related inter-departmental BH care processes, including goal… more
- WellSense (Boston, MA)
- …across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, ... **Job Summary:** The Behavioral Health (BH) Care Manager, provides care management services to WellSense members with behavioral health and substance use… more