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- Green Key Resources is seeking experienced remote Care Managers for the New York metro area. This role supports MLTC members by coordinating medical, psychosocial, and functional needs with an interdisciplinary team. The ideal candidate is an RN licensed in NY with prior...SuggestedRemote job
$105k - $115k
Job Description Job Description Managers for a Managed Care Plan servicing New York. The RN Care Manager position works as a Hybrid - Remote Case Manager, working primarily from home, with 1 day of Field Case Management visits per week, in designated areas. Bilingual...SuggestedPermanent employmentWork at officeImmediate startRemote workTrial period1 day per weekCOMPASS HEALTHCARE CONSULTING & PLA
New York, NY9 days ago$100k - $130k
...New York RN license Associate’s degree in nursing required; BSN preferred Minimum 3 years of RN experience Experience in MLTC, home care, geriatrics, or case management preferred Strong communication, organizational, assessment, and critical-thinking skills...SuggestedPermanent employmentFull timeWork at officeLocal areaImmediate startRemote workPride Health
Bronx, NY7 hours ago$138k
Jobot seeks an experienced MLTC Case Management RN to coordinate care for adult and elderly members with complex needs. In this role, you’ll complete comprehensive assessments, develop person-centered care plans, and ensure services align with MLTC and Medicaid regulations...SuggestedJobot
New York, NY6 days ago$100k - $135k
Nurse Care ManagerThe Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes...SuggestedHourly payWork at officeLocal areaHome officeFlexible hoursWeekend workAfternoon shiftCareSource
Brooklyn, NY3 days ago- ...Job Description Job Description Utilization Review Nurse (RN) - Managed Long-Term Care (MLTC) (MUST LIVE IN TRI STATE AND HAVE NY LICENSE) Position: Utilization Review Nurse (Registered Nurse) Location: 100% Remote (Candidates must hold an active NY RN license...SuggestedFull timeLive inLocal areaRemote workWork from homeMonday to FridayShift workWeekend work
Medix
New York, NY4 days ago - ...as an RN working in a home care environment or in an acute or sub- acute or long-term care (LTC) setting or managed long-term care (MLTC) Intermediate ability to use computerized systems such as Microsoft Outlook, Microsoft Word, Excel, and HHA Exchange Travel by public...Suggested
- ...EXPERIENCE Come join our team! Social Work/Case Manager for a beautiful skilled nursing facility. Knowledge of Medicare and Medicaid, MLTC, HMO Case Management, Discharge Planning are required. Prior Nursing Home Experience strongly preferred. Job Type: Full Time...SuggestedFull timeMonday to FridayShift work
- ...five-year contract to run the Independent Consumer Advocacy Network (ICAN), the statewide Ombudsprogram for Managed Long Term Care (MLTC). For more information, see CSS seeks to hire a Health Attorney to provide consumer assistance to Medicaid managed care enrollees who...SuggestedFull timeContract workWork at officeMonday to FridayShift work
$80k - $85k
...LHCSA, or managed care authorization/billing environment Working knowledge of HHAeXchange required; ePaces required Familiarity with MLTC, CHHA, and third-party payor authorization processes Strong command of revenue cycle and pre-billing mechanics Ability to manage a...SuggestedPermanent employmentTemporary workWork experience placementWork at office$72k - $82k
...Maintain a working relationship with the Business Office to expedite the processing of all Medicaid budgets,NAMI, budget corrections and MLTC enrollments. Prepare report identifying critical cases to be reviewed at scheduled meetings. Comply with all federal and state...SuggestedFull timeWork at office- ...license Must have MDS Coordinator and Case Management experience in long-term care and short term care Must have knowledge in Medicare, MLTC management, & HMO management Must know MDS 3.0 Responsibilities Completes assessments, Minimum Data Set (MDS) and care plans for...SuggestedTemporary work
- ...Qualifications Previous experience as an Intake Coordinator in a Licensed Home Care Services Agency (LCHSA), Managed Long-Term Care (MLTC), home care agency, or related healthcare setting. Strong understanding of the MLTC enrollment process and Medicaid eligibility...SuggestedWork at office
- ...require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid. Home Care Services Program (HCSP) is recruiting...SuggestedFlexible hours
- ...Hearing and attend if necessary Identify budget discrepancies and correct when necessary Assist with enrollments/dis enrollments HMO/MLTC Collect private/NAMI payments as necessary Apply for Representative Payee as necessary Submit Social Security Annual report...SuggestedLocal area
- ...Hearing and attend if necessary Identify budget discrepancies and correct when necessary Assist with enrollments/ disenrollments HMO/MLTC Collect private/ NAMI payments as necessary Apply for Representative Payee as necessary Submit Social Security Annual Report...Work at officeLocal area
$105k - $134k
...Health care preferred. Will train RNs with Hospital experience!\n Experience working for a Hospital, Acute Care, CHHA, LHCSA or MLTC a PLUS!\n Will train RN with some working experience within a Clinical Setting \n Ability to visit patients in a home environment...Full timeWork experience placementInterim roleImmediate startRelocation packageCompass Healthcare Consulting and Placement
Mundelein, IL6 days ago- ...training support, and in order to complete the physicians orders for patient care. Case manages client care services for private and MLTC cases. Observes and ensures aides are clinically proficient and adequately trained no less often than every three months for...Full time
- ...supervisory contacts in accordance with DOH requirements. Coordination & Communication Communicate with service coordinators, schedulers, MLTC care managers, physicians’ offices, and family members to ensure seamless care delivery. Report significant changes in condition...
- ...Experience supporting both HIPAA 834 Enrollment and HIPAA 278 Authorization transactions. Familiarity with Managed Long-Term Care (MLTC) enrollment workflows and non-MAGI eligibility processes. Working knowledge of SQL and data analysis techniques for reconciliation,...Work at office
$66.3k - $71k
...High School Diploma required, Associate Degree preferred. Experience: Minimum 2 years work experience in healthcare; preferably with MLTC, MAP, or PACE programs and/or homecare; primarily in intake/enrollment functions. Knowledge of Medicaid, Medicare and PACE...Work experience placementWork at officeImmediate startFlexible hoursNight shiftWeekend workWeekday work$60k - $100k
...care services. This role is ideal for someone with experience in home care outreach, community healthcare, long-term care, or Medicaid/MLTC programs who understands how to build strong referral networks that lead to new patient starts of care. Responsibilities Build and...Permanent employmentFull time$43.87k - $50.45k
...require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for...Permanent employmentFull timeWork experience placementWork at office- ...hearing and attend if necessary Budget corrections if necessary Assist with yearly Medicaid recertification Enrollments in mandatory MLTC plans Assist with educating families about income payments and rquesting signatures Discuss with Private Patients finance options...
$165k - $200k
.... Preferred Telehealth experience. Knowledge of New York Medicaid and Medicare telehealth regulations. Experience in home care, MLTC, FQHC, value-based care, or population health settings. Experience with eClinicalWorks (eCW). Experience launching or scaling clinical...Full timeImmediate start1 day per week$50k - $60k
...departments to resolve issues Complete all required reports accurately and within established deadlines Document patient, caregiver, MLTC, hospital, and other communications accurately and timely Escalate urgent patient, caregiver, authorization, or service issues to...Full timeShift work- ...and caregiver issues. Complete all required reports accurately and within established deadlines. Document patient, caregiver, MLTC, hospital, and other communications accurately and timely. Escalate urgent patient, caregiver, authorization, or service issues to...Shift work
- ...ASN or BSN accepted At least 1 year of HEDIS medical record review experience spanning more than one HEDIS season Managed care and/or MLTC experience preferred Experience with HEDIS measures such as: Breast Cancer Screening (BCS-E) Eye Exam for Patients with Diabetes (...Permanent employmentContract workTemporary workWork at officeRemote work
$80k - $110k
...in Corrections, PACE and Labor Unions, and is now expanding into Corporate Employers, Public Organizations, Managed Long-Term Care (MLTC/LTSS), Dual-Eligible Special Needs Plans (D-SNP) and Tribal Health. This role will focus on Corporate Employers, Public Organizations...Contract workFlexible hours- ...Coordinate and schedule Home Health Aides (HHAs) and Personal Care Aides (PCAs) across NYC boroughs Manage cases involving Medicaid and MLTC-authorized hours Maintain and update Plans of Care (POC) per physician and MLTC authorization Serve as liaison between clients,...Work at officeWeekend workAfternoon shift
