• 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 Eligbility Specialist

    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 Six (6) Eligibility Specialists II to function as Medicaid Eligibility Specialists, in various MAP Offices who will:… more
    City of New York (11/16/24)
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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 (08/22/24)
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  • Regional Business Office Manager

    AristaCare (Cranford, NJ)
    …should have at least a few years of experience as a SNF Business Office Manager with thorough knowledge of the Medicaid process. Purpose of Your Job Position ... procedures related to billing and accounts receivable, census processing and Medicaid applications. The Business Office Manager processes facility information… more
    AristaCare (10/22/24)
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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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  • 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...monthly billings 6. Monitor and ensure timely submission of Medicaid applications and recertifications 7. Monthly cash reconciliation 8.… more
    The New Jewish Home (11/06/24)
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  • Manager , Healthcare Services Mltc 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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  • Social Work Case Manager Sr

    Elevance Health (Woodbridge, NJ)
    The Social Work Case Manager Sr will be dedicated to the NJ Healthy Homes program and will be responsible for ensuring coordination of Housing Services with all ... other services provided to NJ Medicaid members. This associate will work with the LTSS...the social work goals. + Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and… more
    Elevance Health (09/17/24)
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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 (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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  • Field Case Manager RN - Essex, Union,…

    CVS Health (Maplewood, 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 (11/06/24)
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  • Clinical Program Manager - Candidate Must…

    Prime Therapeutics (Newark, NJ)
    …our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Candidate Must Reside in NJ - Hybrid **Job Description** **This role ... office (Tuesday/Wednesday) which is located in Downtown Newark.** The Clinical Program Manager is responsible for the management of all client specific clinical… more
    Prime Therapeutics (10/09/24)
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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 (09/11/24)
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