- Staffing Solutions Organization (Kent, OH)
- …line. Calls can include a range of inquiries including application status for provider enrollment , compliance reviews, and site visit scheduling. + Check ... documents to the appropriate staff. + Review and verify provider enrollment applications are complete. + Schedule...+ One year of the experience must have included provider monitoring, Medicaid or third-party payer … more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports (LTSS) team is responsible for ... relationship management with the contracted community-based organizations (CBOs) that provide service coordination and other supports for CCA members. This includes… more
- Staffing Solutions Organization (Albany, NY)
- …update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium reimbursement. + Understand the Medicare Savings ... clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division...Program as it applies to NY Medicaid . + Demonstrate systems processes for new employees and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience… more
- Commonwealth Care Alliance (Springfield, MA)
- …promote hospital avoidance and readmission reduction. Additionally, the SBHC will provide ongoing bridge therapy, urgent visits, crisis intervention, and promote ... bridge therapy for members awaiting network referral for Behavioral Health Provider + Support in identifying, supporting, and optimizing substance use disorder… more
- Somatus (San Diego, CA)
- …plans and goals. + Establish positive, supportive relationships with participants and provide feedback. + Conduct an initial triage assessment to help align patients ... in addition to what a nurse care manager can provide via phone, such as: + Address language and...to meet both personal and clinical goals. + Schedules provider appointments on behalf of their patients. + Accompanies… more
- Commonwealth Care Alliance (Springfield, MA)
- …care plan. + Collaborate with patients on SDOH goals in care plan and provide support and education for key care management or coordination decisions + Support ... department use + Supports patient retention and connection to Medicaid and Medicare benefits + Conducts health education on...delivery and care coordination. At times, the CHW will provide 1:1 support for patients in virtual visits with… more
- Somatus (Mclean, VA)
- …plans and goals. + Establish positive, supportive relationships with participants and provide feedback. + Conduct an initial triage assessment to help align patients ... in addition to what a nurse care manager can provide via phone, such as: + Address language and...to meet both personal and clinical goals. + Schedules provider appointments on behalf of their patients. + Accompanies… more
- HCA Healthcare (Smyrna, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Provider Enrollment Specialist with Parallon you can be a part ... in our organization. We are looking for an enthusiastic Provider Enrollment Specialist to help...+ Minimum one-year related healthcare experience preferred, such as Medicare/ Medicaid Enrollment or Managed Care Enrollment… more
- University of Rochester (Canandaigua, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day...Coordination:_ + Understands criteria for appropriate referrals and can provide feedback to internal customers to assure complete and… more
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