- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE COMPUTER SPECIALIST (SOFTWARE) CIVIL SERVICE TITLE. The Department of Social Services (DSS) is comprised of the ... and DHS and develops applications, including a variety of client eligibility and recertification systems, case management systems, housing systems, employment/work… more
- CVS Health (Hartford, CT)
- …and predetermination of covered benefits in the commercial, Medicare, and Medicaid environment. This Wheelchair DME consultant provides subject matter expertise in ... application of Aetna policies and practices for commercial, Medicare, and Medicaid environments. ◾Proactively use data analysis to identify opportunities for quality… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …diverse client populations, including a large Latino population, to determine eligibility for CSB services and offer treatment recommendations. Duties also include ... overseeing the completion of comprehensive clinical documentation to meet DBHDS and Medicaid standards. + Collaborating with other divisions and external agencies in… more
- Point32Health (MA)
- …we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Claims Specialist performs timely and accurate processing of claims inventory as ... by the Claims Supervisor. Using analytical and problem solving skills, the Claims Specialist fully researches and resolves all complex issues and problem codes for… more
- New York State Civil Service (NY)
- …in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility . * If you are employed by state government you may be able to ... administration, administrative services, administrative oversight, training, special education, behavior specialist , habilitation specialist , project management, research, or… more
- CVS Health (Tallahassee, FL)
- …health conditions. The CMC will be providing care coordination service to a Medicaid population. The CMC utilizes critical thinking and judgment to collaborate and ... of related professional experience includes acting as a care manager, rehabilitation specialist , health specialist , social services coordinator etc. + Experience… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
- Indian Health Service (Naytahwaush, MN)
- …questions concerning patients' condition, use and apply medical terminology, determine eligibility requirements for Medicare; Medicaid , Veterans' Health, and ... located in Naytahwaush, MN. The incumbent provides registration and eligibility services which are the key point of interaction...testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- …through the appropriate appointment workflows, including verifying patient insurance eligibility , scanning all necessary identification into the EMR system, and ... via email, computer, fax, and mail. + Verifies patient insurance eligibility and benefits through various payers, including commercial insurances, Medicaid… more
- New York State Civil Service (Thiells, NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... Office and under the direction of the Human Resources Specialist 2 will be responsible for a full range...(with a reasonable accommodation, if necessary)* Have a current Eligibility Letter from the NYS Department of Civil Service,… more