Medicaid Coordinator

Processing of Medicaid Applications, Conversions, and Recertifications - Educate residents and families about income payments/NAMI promptly - Discuss with Private Pay residents their financial options and work on a payment plan as soon as possible - Strong familiarity with all aspects of current NYS Medicaid regulations, particularly NYC DSS - Attend...

**Financial Coordinator** **The Financial Coordinator will be an integral member of our finance team, whose responsibilities will include**: - Meeting with residents/families to discuss their financial obligations - Work with residents and families to ensure they are paid in full - Assist with gathering of documentation for Medicaid applicants - Make sure...

About UsGood Shepherd Services is a leading multi-service agency with more than 85 programs that serve over 30,000 youth and families each year - and builds on their strengths to help them gain skills for success. At Good Shepherd we respect the dignity and worth of every person and reject intolerance, inequity and injustice in whatever form it may take....

About Us Good Shepherd Services is a leading multi-service agency with more than 85 programs that serve over 30,000 youth and families each year - and builds on their strengths to help them gain skills for success. At Good Shepherd we respect the dignity and worth of every person and reject intolerance, inequity and injustice in whatever form it may take....

**POSITION OVERVIEW**: Under the supervision of the Credentialing Manager, the Credentialing Coordinator will organize and maintain all aspects of the credentialing process and functions related to the Credentialing Department. The responsibilities of this position, include but are not limited to, tasks that are related to the initial credentialing and...

Overview: - At Essen Health Care, we care for that!_ - As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical...

Human Resources Credentialing Coordinator Bronx, NY : 3/20/2024 Job Description Job ID#: 3844 Job Category: Human Resources Position Type: Full Time Details: POSITION OVERVIEW: Under the supervision of the Credentialing Manager, the Credentialing Coordinator will organize and maintain all aspects of the credentialing process and functions related to the...

Under the supervision of the Senior Quality administrator, the **Quality Improvement Coordinator** is responsible for performing comprehensive analyses of clinical documentation, review of key administrative and compliance requirements, as well as informs the leadership team of audit findings, potential deficiencies and assists in the development of...

Behavioral Health (Promesa) Quality Improvement (QI) Coordinator Bronx, NY : 12/26/2023 Job Description Job ID#: 3719 Job Category: Behavioral Health (Promesa) Position Type: Full Time Details: Under the supervision of the Senior Quality administrator, the Quality Improvement Coordinator is responsible for performing comprehensive analyses of clinical...

Details: POSITION OVERVIEW: Under the supervision of the Credentialing Manager, the Credentialing Coordinator will organize and maintain all aspects of the credentialing process and functions related to the Credentialing Department. The responsibilities of this position, include but are not limited to, tasks that are related to the initial credentialing...

**Regulatory and Compliance Analyst is needed to perform the following duties**: **Help the pharmacist keep continuous process update with new compliance initiatives.** - Assist Pharmacist in reviewing Center of Medicare & Medicaid service (CMS) prescription data claims as well as from third party insurance providers. - Ensure Pharmacy is compliant with all...

Overview: Research Patient accounts related with audits and activity from Third Party Payers and internal audits in accordance with therequired timeframe. Identify and report root cause for all audit recoveries by Third Party Payers and recommends and participate in corrective action plan for Bronxcare Health System/MLK. Responsibilities: Contributes to and...

**Centers Health Care **is looking to hire a **Centralized** **Admissions **Specialist **focusing on intake coordination and case management. This is a full-time position located in Bronx, NY. **DUTIES**: - Work with Admissions management team to improve and optimize the admission process at Centers Health Care - Collaborate with facility administrators...

Position: Care Manager. Description: The Care Manager (CM) works with Medicaid Health Home clients with complex healthcare needs, and responsibility for overall management of a caseload of approximately 25-30 clients. Responsibilities • Responsible for the overall caseload management and case management team service delivery. • Conduct comprehensive...

An established healthcare system in New York is actively seeking a Clinical Risk Manager to join their growing team!About the Opportunity Location: Bronx Specialty: Risk Management Schedule: Full-time. Monday through Friday, standard business hours Reporting to: the Director of Risk Management and the Chief Quality Officer Responsibilities: the clinical risk...

An established healthcare system in New York is actively seeking a Clinical Risk Manager to join their growing team! About the Opportunity Location: Bronx Specialty: Risk Management Schedule: Full-time. Monday through Friday, standard business hours Reporting to: the Director of Risk Management and the Chief Quality Officer Responsibilities: the clinical...

**JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients...

**Job Title**: Intake Specialist **Reports to**: Director of Intake and Social Services **Location**: Bronx, NY **Job Classification**: Full-time **Shift**: Monday-Friday & some weekends, 35-40 hours per week **FLSA**: Non-exempt **Salary Range**: $23 -$25 per hour The Intake Specialist is responsible for helping individuals through our agency's...

Overview: *** Financial Case Manager** Excellent Benefits - Supportive Management The Financial _Case Manager_ is responsible, in partnership with the Administrator, for all resident related financial management processes in the facility. The Financial _Case Manager_ is responsible to provide all necessary information to applicants, referral sources and...

Overview: Our growing Health Home Division is a "Virtual Home" for Medicaid recipients with chronic health conditions. It is a care management model where all individual caregivers communicate to address patient's needs in a comprehensive manner. Essen's health home division has a team of care coordinators who function as connectors and coordinators to a...