• Non- Medicaid Care Manager

    Family and Children's Association (Mineola, NY)
    Non- Medicaid Care Manager The Opportunity The Care Manager will provide support, linkage, and coordination of services to children and youth ages 5 ... contacts a month + Complete and submit all assessments, care plans, progress notes and any other written work...using a strength- based and family driven approach. + Non- Medicaid only: Assist families with the C-YES process when… more
    Family and Children's Association (10/25/24)
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  • Medicaid Care Manager

    Family and Children's Association (Mineola, NY)
    Medicaid Care Manager The Opportunity The Care Manager will provide support, linkage, and coordination of services to children and youth ages 5 to 21 ... case management services + Complete and submit all assessments, care plans, progress notes and any other written work...team meetings with providers and the family to maximize care . + Participate in all mandatory trainings and any… more
    Family and Children's Association (11/05/24)
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  • Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long ... Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility… more
    City of New York (09/22/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    …and * Knowledge of state and federal rules and regulations related to health care , particularly the Medicaid program. Duties Description The Office of the New ... Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS Bargaining Unit… more
    New York State Civil Service (10/02/24)
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  • Medicaid Eligibility

    City of New York (New York, NY)
    …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... coverage provided to access doctors, medication and other health care services at little or no cost. The Medical...for one (1) Eligibility Specialist II to function as Medicaid Eligibility Specialist, in MAP's CREP unit, who will:… more
    City of New York (08/23/24)
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  • Section Manager

    City of New York (New York, NY)
    …to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost. Medicaid Reimbursement Unit under the ... Reimbursement units who processes invoices for payment of insurance premiums for Medicaid transportation, Home Care Reimbursement, Premium Payment and … more
    City of New York (10/30/24)
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  • Clinical Evaluation Manager , Transition…

    VNS Health (Manhattan, NY)
    …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate,… more
    VNS Health (11/13/24)
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  • Clinical Evaluation Manager (RN) * MA…

    VNS Health (Manhattan, NY)
    …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate,… more
    VNS Health (11/13/24)
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  • Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    Care Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care services. MCP is comprised ... Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of...as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the… more
    City of New York (10/25/24)
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  • Care Manager

    VNS Health (Manhattan, NY)
    OverviewConducts assessments and develops client/member centered plans of care . Provides coordination of services between the varying providers for clients / members ... programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees + Opportunities for… more
    VNS Health (10/29/24)
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  • Manager , Healthcare Services RN, LMSW…

    Molina Healthcare (New York, NY)
    …Whole Health business.** **_Senior Whole Health by Molina_** **is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the ... chronically ill or disabled people who are eligible for Medicaid and Medicare.** **We are looking for a candidate...Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager more
    Molina Healthcare (11/13/24)
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  • Section Manager

    City of New York (New York, NY)
    …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... coverage provided to access doctors, medication and other health care services at little or no cost. The Medical...Principal Administrative Associate III to function as a Section Manager who will, under the general direction of the… more
    City of New York (11/09/24)
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  • Intensive Case Manager Spanish Language,…

    New York State Civil Service (New York, NY)
    …satisfactorily perform the duties of the position. Duties Description As an Intensive Case Manager , you would provide care and services in the community to ... NY HELP Yes Agency Mental Health, Office of Title Intensive Case Manager Spanish Language, (NY HELPS), Manhattan Psychiatric Center, Outpatient, P25811 Occupational… more
    New York State Civil Service (11/09/24)
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  • Albany Government Health Actuary Manager

    Deloitte (Stamford, CT)
    …experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate development ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the… more
    Deloitte (11/08/24)
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  • Assistant Residence Manager

    Helen Keller National Center for Deaf Blind Youths… (Wantagh, NY)
    …an exciting career available to join the HKS team as an Assistant Residence Manager in Wantagh, NY. The Assistant Residence Manager functions involve assisting ... training all staff under the supervision of the Residence Manager . + Supervises and assists with evaluating the work...surveys for each consumer. + Interfaces with guardians, advocates, Care Coordinators, and OPWDD surveyors. Acts as the liaison… more
    Helen Keller National Center for Deaf Blind Youths and Adults (11/01/24)
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  • Provider Network Manager Sr

    Elevance Health (New York, NY)
    Manager Sr** will be responsible for developing the Medicaid provider network through contract negotiations, relationship development, and servicing. Primary ... **Provider Network Manager Sr** **Location:** Latham, NY; Middletown, NY &...strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that… more
    Elevance Health (10/27/24)
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  • Floor Supervisor

    City of New York (New York, NY)
    …of over 16,000 dedicated individuals, is proudly fighting poverty and homelessness, with care and compassion, every single day. We do this by engaging New Yorkers ... to put food on the table, access basic health care , or get a roof over their heads. We...the general direction of the Director of the HRA Infoline/ Medicaid Helpline, with wide latitude for independent initiative and… more
    City of New York (09/07/24)
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  • Manager , Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …Medicare and Medicaid appeal and grievance processes, incidents, quality of care concerns and any other inquires requiring clinical review for medical necessity, ... of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations...handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product… more
    VNS Health (09/04/24)
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  • Service Desk Manager

    New York eHealth Collaborative (New York, NY)
    Service Desk Manager Job Details Job Location Albany or NYC Office - Albany or New York, NY Position Type Full Time Description New York eHealth Collaborative: ... Service Desk Manager New York eHealth Collaborative (NYeC) is a not-for-profit...the Triple Aim of improving the patient experience of care , delivering better health outcomes, and reducing costs. On… more
    New York eHealth Collaborative (11/13/24)
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  • Health Actuary Consulting Manager

    Deloitte (Stamford, CT)
    …role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist ... be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the...and present client presentations and reports + Conduct other Manager level health actuarial consulting activities, as required The… more
    Deloitte (11/07/24)
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