• 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 (07/26/24)
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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 (08/07/24)
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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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  • 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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  • Nurse Care Manager

    Independence Care System (New York, NY)
    …your expertise respected. As part of the Care Management team, the Nurse Care Manager collaborates with members to build a Person Centered Service Plan ... Let us share why you should consider joining the team of nurses at Independence Care System! . Our nurses are passionate about their work and have the freedom and… more
    Independence Care System (09/04/24)
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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 (07/26/24)
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  • Manager , MLTC Care Coordination

    VNS Health (Manhattan, NY)
    …management, required + Demonstrated knowledge of NYS regulations regarding Medicare or Medicaid Managed Long Term Care health plans, preferred + Experience ... OverviewLeads a team to achieve excellence in the daily operations of care coordination with a focus on quality, compliance, and member outcomes. You'll provide… more
    VNS Health (09/11/24)
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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 (08/11/24)
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  • Manager , Healthcare Services RN, LMSW,…

    Molina Healthcare (New York, NY)
    …Health and Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager responsible for ... 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 (09/25/24)
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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 (08/09/24)
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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 (09/27/24)
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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 (09/17/24)
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  • SH RN 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 (09/11/24)
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  • Case Manager

    Outreach Development Corporation (Brentwood, NY)
    …For more information, please visit www.opiny.org. Position: Case Manager The Case Manager is responsible for the delivery of care coordination services to a ... population with history of substance abuse. The Case Manager serves as a member of the interdisciplinary treatment...+ Exercise due diligence in the delivery of quality care in line with agency Medicaid Compliance… more
    Outreach Development Corporation (08/20/24)
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  • Manager , Provider Relations

    Molina Healthcare (New York, NY)
    …purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. * Oversees and leads the ... * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence… more
    Molina Healthcare (09/13/24)
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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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  • Research Data Compliance Manager

    Mount Sinai Health System (New York, NY)
    …world-renowned medical school. We are one of the metro area's largest health care providers, with hundreds of ambulatory, primary, and specialty care facilities ... have permission to use it in alignment with our multi-part mission of patient care , education and research. The mission of Scientific Computing and Data (SCD) group… more
    Mount Sinai Health System (09/28/24)
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  • Manager Mmtp - Mmtp Gouverneur - MSBI…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Manager is responsible for overseeing staff, operations and resources within a department or division to ensure optimal result and high ... employee engagement. The Manager ensures that the department is run according to...preferred + Four years of paid experience in health care delivery, social work, counseling, community or addiction services,… more
    Mount Sinai Health System (09/10/24)
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  • Case Manager - Suffolk Transitional Case…

    EAC Network (Central Islip, NY)
    Case Manager - Suffolk Transitional Case Management Job Details Job Location 80 Wheeler Road, Central, Islip, NY, 11722 - Central Islip, NY Position Type Full Time ... Percentage Up to 25% Job Category Nonprofit - Social Services Become a Case Manager with EAC Network - Transform Lives and Make a Difference! Are you passionate… more
    EAC Network (09/10/24)
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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, ... one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA) or Select Health. Ensures compliance with state and… more
    VNS Health (09/04/24)
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