- CDPHP (Latham, NY)
- …requests for prior authorization received via the telephone line, fax machine and mail. The Medicaid Special Programs Case Manager typically works in the ... invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating… more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department ... of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee ...programs and applications. + Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex.… more
- Saratoga Hospital (Saratoga Springs, NY)
- …nursing background (RN) preferred. Knowledge regarding health insurance health insurance programs and/or facilitated enrollment (ie Medicaid ) a plus. Basic ... Case Management Representative Salary Range: $37-$57 About Saratoga...required. Solid working knowledge of Microsoft Office is required. Special Equipment, Skills or Other Requirements: Must be self-directed… more
- CVS Health (Albany, NY)
- …with government programs such as Medicare Advantage Organization (MAO) or Medicaid in one or more of the following areas: Operations, Product, Compliance or ... it all with heart, each and every day. **Position Summary** The D-SNP Program Manager will play a critical role in ensuring annual readiness, regulatory compliance,… more
- Humana (Albany, NY)
- …first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior ... that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria if applicable, to promote cost-effective delivery of health care… more
- New York State Civil Service (Albany, NY)
- …in addition to on-the-job training activities, prior to completing the traineeship.55-bc Program : The Governor's Programs to Hire Individuals and Veterans with ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...Disabilities consist of two specialized programs : the 55-b and the 55-c Program .… more
- CVS Health (Albany, NY)
- …and more compassionate. And we do it all with heart, each and every day. ** Program Overview** Join our Aetna team as we lead the way in providing exceptional care ... will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in...(DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and… more
- The Salvation Army (Saratoga Springs, NY)
- …Monitor CM team's data entry and complianceCare Manager Responsibilities:* Provide case /care management to Medicaid Members seeking assistance from Salvation ... team and as the direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs). Senior...Salvation Army sites as needed* Engage Corps leadership team, case management staff and food program staff… more
- Capital Region BOCES (Albany, NY)
- LOCATION: Special Education & Career & Technical Education Buildings BASIC FUNCTION: Employees in this class have immediate responsibility for the direction and ... supervision of school nursing personnel within all BOCES programs engaged in a variety of school nursing activities....the school administrator in planning the overall school nursing program . Employees confer with the school administrator in the… more
- New York State Civil Service (Albany, NY)
- … administered by OTDA and other Executive agencies (eg, the Department of Health's Medicaid program , the Office of Children and Family Services' foster care and ... childcare programs , and the Office for People with Developmental Disabilities...facts and evidence.* Analyzes data to discover facts in case . Research laws, regulations, policies, and precedent decisions to… more