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Provide direct representation, advocacy, education, and counseling to consumers and/or their caregivers or advocates, concerning eligibility for Medicaid, problems with enrollment and disenrollment in managed care plans, benefits coverage and access rules and procedures, member rights and responsibilities, and appeals.
$51,289 - $55,449 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
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Plans, coordinates, delivers and manages comprehensive healthcare services for individuals requiring primary care case management, including but not limited to those enrolled in the NYS Medicaid Managed Care Program.
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About NYC Health + Hospitals MetroPlusHealth 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.
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As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 'snetwork includes over 27,000 primary care providers, specialists and participating clinics.
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Oversee that mandated paperwork and recordkeeping remains in compliance with ACS, OCFS and GSS Program Evaluation and Planning Dept and Medicaid Managed Care. Integrate high-quality social service practice, utilizing trauma-informed evidence-based and evidence-informed models and ensure on-going development, fidelity and adherence to these best practices within the social service department throughout the Diagnostic Center.
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Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. The Enrollment Coordinator must ensure that all assignments are completed accurately and in a timely manner in accordance with NYSDOH Medicaid guidelines, MLTC provider regulations, and agency policies and procedures.
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This position arranges for non-emergency medical transportation services for senior citizens, people with disabilities, Medicaid eligible clients and others. OCWCOG is recognized by the State of Oregon as an Area Commission on Transportation (ACT) and a Type B Medicaid Transfer Agency.
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Assure that each person residing in shelter is receiving or has applied for the appropriate level of VA, HRA, SSI, SSD, Medicaid, Medicare, and other entitlements. Or an associate's degree in a health or human services field (see above fields) and three years of direct care experience, or a high school diploma/GED and four years of experience in providing direct services to individuals with mental disabilities (i.e., persons properly diagnosed as suffering from mental illness, mental retardation, alcoholism, or substance abuse) or to homeless individuals.
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Provide social services and case management to older adults on issues related to government benefits (e.g., Medicaid, Medicare, SNAP, HEAP, Access-Ride, Lifeline, EPIC, etc.) Pre-tax Flexible Spending Accounts for Medical, Dependent Care and Parking/Mass Transit.
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Cityblock’s VP of Finance must be an experienced finance executive, ideally with expertise in Medicaid, Medicare Advantage / Duals (e.g., D-SNP, MMP) programs, and/or value-based care. Cityblock is the preeminent value-based care provider focused primarily on high needs populations, specifically Medicaid and Dual-Eligible beneficiaries.
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Develop and maintain liaison activities with H.R.A. 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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Job Description Responsible for maintaining and updating the MetroPlusHealth Reporting Data Categorization logic that is used for MMCOR (Medicaid Managed Care Operating Report) Reporting and EIS (Encounter Intake System) Reconciliation.
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The Fred Cooper Substance Abuse Service Center (SASC), which is licensed by the NYS Office of Alcoholism and Substance Abuse Services and funded by Medicaid and the NYC Department of Health and Mental Hygiene, serves people with alcohol and substance abuse problems who are homeless or marginally housed.
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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.
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medicaid job Title: primary care physician Company: Ima Medical Group in New York, NY
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