• 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 (12/22/24)
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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 (11/22/24)
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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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  • Bilingual Care Manager

    Rising Ground (Bronx, NY)
    …member's needs are addressed in a comprehensive manner. This is done primarily through a " care manager " who oversees and provides access to all of the services ... to prevent hospitalizations, stay healthy, and maintain stability. The Care Manager is ultimately responsible for the...obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance… more
    Rising Ground (11/21/24)
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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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  • Program Manager - Clinical Program Design…

    Molina Healthcare (Yonkers, NY)
    **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (12/05/24)
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  • Healthcare Payment & Financing Innovation…

    City of New York (New York, NY)
    …transparency, All-Payer Claims Databases, and other employer-led strategies promote high-value care . Medicaid policy and strategy. Budget management experience ... and healthcare systems in partnership with community, faith-based, and health care organizations. CHECW's work focuses on social determinants of health, including… more
    City of New York (12/08/24)
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  • Manager , Actuary

    VNS Health (Manhattan, NY)
    …projects that push boundaries and decision making that drives results. As the Manager , Actuary for Medicare Advantage (MA), you will play a pivotal role in ... programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees + Opportunities for… more
    VNS Health (12/13/24)
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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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  • Section Manager

    City of New York (New York, NY)
    …Prenatal Care Assistance Program (PCAP) section involved in the Medicaid eligibility processing and determination of applications for pregnant women. Ensure that ... The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families… more
    City of New York (11/26/24)
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  • Albany Government Health Actuary Manager

    Deloitte (New York, NY)
    …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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  • Clinical Evaluation Manager

    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 (12/14/24)
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  • Case Manager , Mltc LMSW or LCSW Remote…

    Molina Healthcare (Bronx, 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 ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (12/25/24)
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  • Case Manager RN - Hudson County NJ…

    CVS Health (Jersey City, NJ)
    …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for...+ Case management and/or discharge planning experience + Managed Care experience + Medicaid and Medicare experience… more
    CVS Health (12/06/24)
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  • Accounts Receivable Manager

    The New Jewish Home (Manhattan, NY)
    …and proficiency with computer and other office equipment 3. Knowledge of Medicare, Medicaid , Managed Care , Social Security and other entitlement and insurance ... The Finance Department is seeking an Accounts Receivable Manager to join our team! This position will...Minimum 2 years Supervisory experience 4. Knowledge of Medicare, Medicaid and Third party billing 5. Medicare and Managed… more
    The New Jewish Home (11/06/24)
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  • Case Manager , Health Home Programs

    CAMBA (Brooklyn, NY)
    …Yorkers today. CAMBA's Health Home program is an innovative new model of care management focused on improving the health outcomes for individuals with severe mental ... cutting-edge health information technology & a unified plan of care to ensure all clients connect to & maintain...significant impact on many human services sectors. Position: Case Manager Reports To: Supervisor I Location: 2244 Church Ave,… more
    CAMBA (12/11/24)
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  • Case Manager (Paths to Healing)

    Rising Ground (Brooklyn, NY)
    …families in navigating complex systems such as housing, public assistance, health care , and legal advocacy. We are seeking a passionate, trauma-informed professional ... for clients in interactions with housing authorities, public assistance programs, health care providers, and the criminal justice system. + Support clients through… more
    Rising Ground (12/25/24)
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  • Program Manager -(OMH) RTS Program

    Comunilife (Bronx, NY)
    Program Manager -(OMH) RTS Program Job Details Job Location Bronx, NY Position Type Full Time Education Level Graduate Degree Salary Range $65,000.00 - $75,000.00 ... its newRehabilitation and Tenancy Support Services Program (RTS).The Program Manager is responsible for the overall program oversight of...by NYS Office of Mental Health (OMH) to bill Medicaid for certain services. The program is designed to… more
    Comunilife (11/29/24)
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