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The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid.
$114,124 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Knowledge: Familiarity with Medicare, Medicaid, and commercial insurance payer enrollment processes; understanding of post-acute care services and related credentialing requirements. Enrollment Management: Complete and submit provider enrollment applications to Medicare, Medicaid, and commercial insurance carriers, ensuring accuracy and compliance with all required documentation.
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The Medicaid Care Manager Team Lead manages the daily activities of the Medicaid team (Care Managers and Care Management Associates) to ensure quality outcomes in the delivery of member-centered case management including reduction in emergency room visits and hospital admissions, improved member satisfaction, improved member health, and cost effectiveness.
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Identify eligible Medicaid consumers via Home Care Agencies, Adult Day Care Centers, DME Provider offices, Caregiver Resources Centers, specialty provider offices, HHC Long Term Care Facilities, etc.
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In addition, the Senior Case Manager will make all necessary linkages to community agencies to provide proper placement of residents in areas of permanent housing, referral to engage in aftercare services prior to leaving the agency, vocational and educational services, and to assist families in securing public assistance, Medicaid or other entitlements.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
$129,124 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Position SummaryAetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider Medicaid relationships as part of the National VBC Business Development team.
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Applicant contributions may involve a wide range of health care policy research areas, including research on models of insurance coverage and healthcare financing, impacts of Medicaid and Medicare policy on access to care, quality, and health outcomes, or the study of other emerging shifts in healthcare delivery on health and reducing health inequities, including telehealth and expansion of ambulatory care.
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The Door’s Adolescent Health Center offers comprehensive health services, including primary care, sexual health and reproductive care, mental health services, eye care, dental services, dermatology, and nutrition counseling for all Door members.
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Under the direction of the Director of Admissions & Director of Utilization Review, the Utilization Review Specialist will coordinate Medicaid Managed Care benefits and approvals for clients receiving behavioral healthcare services from Odyssey House’s Part 820 residential programs.
$70,000 a yearFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The ideal candidate will support our Medicaid application process to confirm client eligibility, gather all information required to complete the application, and submit the completed application in a timely manner.
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Well-versed in NYS Medicaid, MLTC and CDPAP eligibility. Do you have experience working in the Home Care Industry with referral sources helping process their HHA/PCA, CDPAP, PDN or NHTD cases.
$50,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Complete quality admissions assessments in accordance with regulatory bodies (OASAS, CARF, and Medicaid) Knowledge of OASAS and Medicaid regulations. Maintenance of primary counseling caseload commensurate with outpatient program needs and intake scheduling demands.
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Develop and maintain liaison activities with DHS, HRA. Public Assistance and Medicaid Administrators and Workers, to assist eligible residents in securing Public Assistance and Medicaid by acting as a personal advocate through telephone or personal visit/contact.
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Nice to have: Experience with or knowledge of government services, particularly safety net services like SNAP, WIC, TANF, SSI, SSDI, Medicaid, Section 8. Free access to Ginger mental health, Gympass, Headspace, One Medical, Rightway, Sofi, and Spring Health.
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medicaid job Title: primary care physician in New York, NY
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