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Maintain required documentation according to DDS, DMH, MassHealth, HUD, DPH, CARF and all applicable regulatory standards as well as Bridgewell policies and procedures. Provide services to individuals according to DDS, DMH, MassHealth, HUD, DPH, CARF and all applicable regulatory standards, as well as Bridgewell policies and procedures.
$18.75 - $19.35 an hourFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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The incumbent will assist the Billing and Claims Manager with effectively managing the BUGSDM Accounts Receivable, in particular items billed to MassHealth and other state Medicaid programs. This position is responsible to review and investigate denials from the Medicaid/MassHealth administrator(s), i.e. Dentaquest, resubmit claims, processing adjustments to accounts within system, including write-offs and billing to the patients, as appropriate.
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The Clinical Care Manager (CCM) provides intensive care coordination and clinical care management for MassHealth Members with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Support student parents in connecting with resources to persist at BHCC (such as public child-care vouchers, MassHealth, DISH). The Special Program Coordinator will be an active member of the Student Affairs Division and work closely within the Division with the Student Counseling Center, the campus food pantry (the DISH), Disability Services, Single Stop, Student Engagement and Leadership, Athletics, Veteran Services and other key campus partners.
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Prepare and Process MassHealth FEW provider applications at the time of the renewal. Prepare and Process MassHealth FEW provider applications at the time of the renewal. Run Office of Inspector General (OIG) and General Services Administration (GSA) monthly checks on providers and maintain a record of the monthly checks.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Learns and understand MassHealth/ Health Connector application, eligibility, and enrollment processes by completing the MassHealth Certified Application Counselor (CAC) online training and maintains certification by completing ongoing training offered by MassHealth or the Health Connector.
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As a Certified Application Counselor, the Public Health Patient Access Navigator (PAN) will assist patients presenting for Public Health services, by appointment or walk-in, and will screen for eligibility and offer enrollment assistance to secure insurance coverage through MassHealth, Out of State Medicaid, HSN, or BMC’s Charity Care Program.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Reviews the MassHealth Physician Summary and all PHI for AFC referrals. Reviews the MassHealth Physician Summary and all PHI for AFC referrals. Acts as on-site nursing resource at designated office location(s) at least one (1) day per week to provide clinical support to other agency services including but not limited to Day Habilitation.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The Case Program Manager, Stabilization & Community Support Program for Homeless Individuals (CSP-HI) will lead the creation and implementation of internal policies required by MassHealth. The Program Manager, Stabilization & CSP-HI will oversee compliance, credentialing, and business operations of FamilyAid’s CSP-HI program, that provides ongoing resources through MassHealth for intervention services for health, as well as for 2Gen services.
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The Executive Office of Health and Human Services (EOHHS) is the largest secretariat in state government and is comprised of 11 agencies and the MassHealth program. The Executive Office of Health and Human Services (EOHHS) is the largest secretariat in state government and is comprised of 11 agencies and the MassHealth program.
Full-timeExpandUpdated 11 days ago - UpvoteDownvoteShare Job
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Take the lead in developing patient complaint/grievance dashboard, analyze result and reports with meaningful trends and insight to leadership and C3 (for MassHealth enrolled patients) Works in concert with VP of Operations, Chief Clinical Officer, Nursing, Clinical and Operational management, when necessary, in gathering and documenting information pertaining to all potential liability claims and high-risk areas.
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The Commonwealth of Massachusetts received a waiver from the Centers for Medicaid and Medicare to improve the ways in which MassHealth provides care to its members. Haitian Creole-Speaking Nutrition Services Coordinator.
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Completes trainings required by grant funders and Harbor Health in a timely manner and ensures medical Case Managers participate in on-going trainings to enhance services knowledge and improve client experience, as well as maintain required certifications and compliance requirements (e.g., BLS certification, MassHealth Certified Application Counselor, Compliatric.
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Completes ongoing training provided by MassHealth and the Health Connector. Manages correspondence received from MassHealth. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 450 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Perform MassHealth eligibility status checks and troubleshoot eligibility of members. A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
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