Bachelors degree, (3) three years of related experience including working knowledge of Medicare and Medicaid provider network requirements. Get alerts to jobs like this, to your inbox. You can also go outside the plan for other non-emergency services if RiverSpring gives you permission first. Generate data reports. Free, fast and easy way find a job of 916.000+ postings in Scarsdale, NY and other big cities in USA. network specialist. If you want to join a MLTC plan for the first time, or if you have not been in a plan for 45 days or longer, the initial eligibility determination for MLTC will be made by the CFEEC, or other entity designated by NYS Department of Health. Respond to staff and provider network inquiries. We will refer to these groups as network providers in this Directory. Click here for a keyword search, Need help finding the right services? Job Security/Advancement. network associate. Learn about salary, employee reviews, interviews, benefits, and work-life balance . . ElderServe Health, Inc., d/b/a RiverSpring Health Plans, is an affiliate of The Hebrew Home for the Aged at Riverdale, and Free, fast and easy way find a job of 790.000+ postings in Syosset, NY and other big cities in USA. Only Show Offices Accepting New Patients . Our locations are listed below. Reviews provider applications, performs primary source verification and maintains Intellicred database. The Category Search is arranged by topic. Search and apply for the latest Rehabilitation nurse jobs in Syosset, NY. Job email alerts. [Business]: , 94 West 225th St, 2nd Floor, , , NEW YORK, NY, 10041-. You may get services from any of the providers on this list. The partially-capitated managed long-term care plans provide long-term care services, ancillary, and ambulatory services. New York, NY 10016 (855) 467-9351. hVkHTQ>ws{fFt4LRzHae+CL[BX?,Gf!aW!"z^b eiBMr ?11US30MQv) 0c7tbT}X$mbT!w/+[pHh0jy83c. Zip Code. Step 1: Search for Provider Office Search Criteria Benefit Plan Zip City Zip Specialist Type Only Show Offices Accepting New Patients Advanced Search Criteria (Optional) Step 2: Select Provider Office to be Assigned Step 3: Enter Member Details The CFEEC is available Monday to Friday, 8:30 am to 8:00 pm, or Saturday, 10:00 am to 6:00 pm, at 1-855-222-8350; TTY: 1-888-329-1546; or via email CF.Evaluation.Center@health.ny.gov. %PDF-1.5 % If you did not choose a PCP or would like to make a change to your PCP, go to the list of providers and choose a provider: If you want help in choosing a PCP, please call Member Services at 1-800-771-0088 TTY/TDD: 711, 7 days a week from 8 a.m. to 8 p.m. (5 days ago) Provider Directory. Search reviews. And to keep our parking lot accessible for emergency vehicles, please park in the designated areas only. Save the search, receive career opportunities by email & land a dream job! Plan a Visit: We encourage you to visit your friends and family at the Greenberg Campus in Riverdale. . Brooklyn, NY. Is there a need for help with any of the following: Address: MTK Resources Easy 1-Click Apply. The State of New York has created a participant ombudsman program called the Independent Consumer Advocacy Network (ICAN) to provide Members free, confidential assistance on any services offered by RiverSpring at Home. Job email alerts. You can go to any of the pharmacies in our network. Find Riverspring Health jobs in Morris Park, NY now. S/he will be responsible to triage all Provider appeals, and support management in appeal tracking and workflow for RiverSpring Health Plans, ISNP, MAP, and MLTC product lines. The State of New York has created a participant ombudsman program called the Independent Consumer Advocacy Network (ICAN) to provide Members free, confidential assistance on any services offered by RiverSpring at Home. Maintain and update databases, including the provider database, directory, and rate tables. Respond to staff and provider network inquiries. hbbd``b`@q?2@YD 3 $X2M M201 Lake Success, NY 11042 (866) 586-8044. Search and apply for the latest Disability long term care jobs in Scarsdale, NY. Job email alerts. Verified employers. Zip City. You are not required to continue going to the same pharmacy to fill your prescriptions. MLTC-Intake Scheduling Specialist - Brooklyn Office. This provider will be your PCP. Brooklyn, NY 11210. Bronx, NY. Respond to staff and provider network inquiries. Find Riverspring Health jobs in New York City, NY now. Types of Pharmacies in RiverSpring Health Plans Network. RiverSpring works with all the providers in our network to accommodate the needs of people with disabilities. . 1564 Northeast Expressway Mail Stop HQ-2361 Atlanta, GA 30329 Electronic Claims: RiverSpring has partnered with Change Healthcare, as our electronic claim submission gateway. discover Riverspring Health Plans Provider Portal. You must get all your covered services from providers within our network. Generate data reports. endstream endobj startxref "X@"HH^d`bde``& DNU Reviews provider applications, performs primary source verification and maintains Intellicred database. To learn more about mail order pharmacies, see Chapter 5 of the Evidence of Coverage or call the Member Services Pharmacy Helpdesk at 1-855-898-1482. Research salary, company info, career paths, and top skills for MLTC-Intake Scheduling Specialist - Brooklyn Office Job Type(s) Full Time; Industry Technology; Job Description. The Keyword Search helps you find long term services and supports in your area. Provider and Pharmacy Network - RiverSpring Star. Riverspring MAP. Medicare and Medicaid Plan Riverspring Star (HMO I-SNP) and RiverSring MAP (HMO D-SNP) may not cover the service or drug if you dont get approval. ICAN may be reached toll-free at 1-844-614-8800 or online at icannys.org Last updated on April 17, 2020 Competitive salary. Prepare required provider network data for submissions, review submission results and prepare responses to network deficiencies. 704 0 obj <> endobj Email. If you need care that our plan covers and our network providers cannot give it to you, you can get permission from RiverSpring to get the care from an out-of-network provider. RiverSpring Living provides a full range of care solutions including nursing home care, managed long term care, assisted living programs, senior housing, rehabilitation services and specialized services such as elder abuse prevention and memory care. Collectively . Jobseeker log in. Maintain and update databases, including the provider database, directory, and rate tables. The provider network may change at any time. This provider is an insurance company that provides a Medicaid Managed Long Term Care (MLTC) partially-capitated plan. Free, fast and easy way find a job of 652.000+ postings in Huntington, NY and other big cities in USA. 205 Lexington Ave, 3rd Fl. Compensation/Benefits. new. The Intake Nurse will be responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their family. . Job email alerts. Verified employers. ICAN may be reached toll-free at 1-844-614-8800 or online at icannys.org, 80 West 225th Street Managed Long Term Care (MLTC) 1-800-370-3600. RiverSpring LivingSave Job MLTC-Provider Network Analyst Bronx, NY18d $48,055-$76,737 Per Year (Glassdoor est. The preceding link goes to another website. If you have any questions, feel free to call us at 718-581-1000. Save the search, receive career opportunities by email & land a dream job! Take a Tour:We offer regularly scheduled tours throughout the week, but if you would like to schedule a tour at a different time please call ET. The Intake Nurse role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be eligible for a $20,000 sign on bonus. 30+ days ago. Respond to staff and provider network inquiries. All providers in this provider directory accept both Medicare and Medicaid. Riverspring Living 2.6 MLTC-Provider Network Analyst Bronx, NY $46K - $74K ( Glassdoor est.) To learn more about RiverSpring MAP (HMO D-SNP), please call 1-800-362-2266 (TTY/TDD: 711 ), 8 a.m. to 8 p.m. (MLTC) Monitoring your healthcare needs is what we do best. The Provider Network Analyst role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be responsible for processing credentialing and re-credentialing applications of providers, vendors and facilities. If you wish to enroll in RiverSpring at Home, you need to inform the CFEEC of your choice. Benefit Plan. These network pharmacies are pharmacies that have agreed to provide prescription drugs to you as a member of the plan. Maintain and update databases, including the provider database, directory, and rate tables. Find Riverspring Health jobs in Syosset, NY now. Full-time, temporary, and part-time jobs. The RiverSpring Provider directory contains: *Dental providers are not covered by the RiverSpring Star (HMO I-SNP) benefit package. If you have any questions, feel free to call us at718-581-1000. ET, 7 days a week. 7 days a week, 8 a.m. to 8 p.m. The Provider Network Analyst role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be responsible for processing credentialing and re-credentialing applications of providers, vendors and facilities. The Intake Nurse role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be eligible for a $20,000 sign on bonus. 1432 Fifth Ave. New York, NY 10035 (866) 263-9083. If you are having trouble finding a provider who will accept new members, call Member Services at, To get the most up-to-date information about RiverSprings network providers in your area, call Member Services at Member Services at, who has been recommended by someone you trust, or. This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics). Reviews provider applications, performs primary source verification and maintains Intellicred database. Below, please find related information to help you with your job search. Save the search, receive career opportunities by email & land a dream job! Search and apply for the latest Nurse manager long term care jobs in Huntington, NY. The Provider Network Analyst role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be responsible for processing credentialing and re-credentialing applications of providers, vendors and facilities. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved problems and equip you with a lot of relevant information. View the job description, responsibilities and qualifications for this position. Are eligible for nursing home level of care, Are approved by the Conflict Free Evaluation & Enrollment Center. TTY/ TDD users should call 711, 7 days a week, 24 hours a day. City. ET. Bronx, NY 10463 ET. %%EOF 75 Vanderbilt Ave. 7th Fl. Full-time, temporary, and part-time jobs. Any time; Last 24 hours; Last 7 days; Last 14 days; Last 30 days; . Unfortunately, this job posting is expired. These providers signed a contract with us to provide you services. MLTC plans provide services and support to people that have a long term health problem or disability for more than 120 days. The Provider Network Analyst role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be responsible for processing credentialing and re-credentialing applications of providers, vendors and facilities. Helpful Hints: All visitors must be identified before entering the main campus. Family identification cards are available at request. Key terms and their definitions appear in alphabetical order in the last chapter of the Evidence of Coverage. Apply Now. Listed on 2022-11-10. Call Member Services at. The exceptions to this rule are when you need urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. Find a Provider The RiverSpring Health Plans Provider Directory is an online directory where you can search for participating network providers. network technician. Search jobs. For Dental Providers, please visit: https://client.libertydentalplan.com/RiverSpring. Talk to your care team for assistance. The Provider Network Analyst role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be responsible for processing credentialing and re-credentialing applications of providers, vendors and facilities. Description: This provider is an insurance company that provides a Medicaid Managed Long Term Care (MLTC) partially-capitated plan. RiverSpring at Home RiverSpring at Home 80 West 225th Street Bronx, NY 10463 1-800-370-3600 Inquiries@riverspringhealthplans.org Last updated on December 9, 2019 7 days a week, 8 a.m. to 8 p.m. NY Connects is your trusted place to go for free, unbiased information about long term services and supports in New York State for people of all ages or with any type of disability. Click the map for directions. Full-time, temporary, and part-time jobs. Along with retail pharmacies, your plans network of pharmacies includes: Mail-order pharmacies send covered prescription drugs to members through the mail or shipping companies. RiverSpring Health Plans, is part of a group of long term care affiliates under the brand name of RiverSpring Living. Any job type. MLTC-Provider Network Analyst. For more information or to schedule a visit from our staff contact us today, https://client.libertydentalplan.com/RiverSpring. Want To Work at RiverSpring Living? Riverspring Living 2.6 MLTC-Provider Network Analyst. PHONE: 800.56.SENIOR. Bronx, NY. Job in Bronx - Bronx County - NY New York - USA , 10400. MLTC-Nurse Care Manager - Brooklyn RiverSpring Health - Brooklyn, NY RiverSpring Health Plans, is part of a group of long term care affiliates under the brand name of RiverSpring Living. View Job description, benefits and responsibilities. Member Services: 1-800-370-3600 TTY/TDD: TTY/TDD 711 MLTC-Provider Network Analyst. RiverSpring Living Bronx, NY 1 month ago Be among the first 25 applicants See who RiverSpring Living has hired for this role . You will be assigned a Primary Care Dentist by our dental benefits manager, Liberty Dental Plan of New York. . Job Work/Life Balance. New York State, Telephone: Managed Long-Term Care Plan Directory. Any job type. And to keep our parking lot accessible for emergency vehicles, please park in the designated areas only. If you have been going to one network provider, you do not have to keep going to that same provider. The Provider Network Analyst role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be responsible for processing credentialing and re-credentialing applications of providers, vendors and facilities Reviews provider applications, performs primary source verification and maintains Intellicred database . Search. MLTC-Provider Network Analyst RiverSpring Health. . 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