• 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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  • 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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  • 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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  • 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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  • 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 (10/02/24)
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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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  • 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 , Ltss 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 (09/05/24)
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  • Registered Nurse Case Manager LTSS 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 (09/05/24)
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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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  • 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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  • Case Manager (Paths to Healing)

    Rising Ground (Bronx, 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 (09/25/24)
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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 (08/30/24)
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