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$62.35k
...Specialist to provide orientation and training of departmental staff Acts as a resource to team Ensures compliance with all MLTC regulations and contractual obligations Establishes and monitors quality of work provided by staff and takes appropriate action...SuggestedTemporary workLive inWork at officeImmediate startShift workNascentia Health
Syracuse, NY7 days ago- A bit about us: A NYC Metro Managed Long Term Care Plan Why join us? $15,000 Sign on Bonus (depending on position) 4 weeks Vacation 8 company paid holidays PENSION plan - Employer paid 100% at 5.75% of salary per year Employee Vesting at 5 year work...SuggestedTemporary workLocal areaRelocation packageFlexible hours
Jobot
Brooklyn, NY3 days ago $100k - $115k
...RN Case Manager – MLTC (Bilingual highly preferred) – Hybrid (4 days remote) Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services...SuggestedWork at officeLocal areaRemote workHome officeRCM Healthcare Services
Bronx, NY3 days ago$15k
...Agency 25 Location: Lincoln, NE Hiring Rate: $15.000 Job Posting: JR2026-00022157 Medicaid & Long-Term Care (MLTC) Finance Internship (Summer 2026) (Evergreen) (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as...SuggestedSummer workInternshipNebraska State Jobs
Lincoln, NE2 days ago$20 - $28 per hour
...Shift : Day Pay : $20-$28 /hr Contract : 2-month possible extension Duties : Handle incoming and outgoing calls on MLTC/PCS and Behavioral Health (BH) ACD lines, including warm transfers to clinical case managers. Assist members with benefits...SuggestedContract workTemporary workShift workPride Health
New York, NY5 days ago$23.23 - $39.61 per hour
...including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider...SuggestedHourly payFull timePart timeWork at officeLocal areaRemote workMonday to FridayFlexible hoursAfternoon shiftFidelis Care
Getzville, NY27 days ago- ...Job Title Resolves grievances, appeals and external reviews for VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully Integrated Dual Advantage (FIDA) and Select Health. Ensures regulatory compliance, timeliness requirements...Suggested
$70.2k - $87.7k
...Specialist The Medicare Enrollment Specialist educates consumers who have reached out to VNS Health Plans and existing VNS Health Plans MLTC members about the benefits of enrolling in MAP, MAPD and/or DSNP products. Achieves monthly conversion rate and quality/compliance...SuggestedWork experience placementFlexible hours$70k - $100k
...Account Manager - Healthcare (MLTC / MAP) $70,000–$100,000 (DOE) + travel reimbursement Brooklyn / Monsey (Primarily Field-Based) Position Overview A healthcare plan is seeking an Account Manager to manage and maintain existing referral relationships within...Suggested- ...Manage Social Security Representative Payee and Direct Deposit forms. Complete annual Medicaid and insurance re-certifications (MLTC, Medicare, etc.) Participate in weekly UR meetings and share updated insurance information. Support annual financial reporting,...SuggestedFull timeWork at office
$70k - $100k
...referral falls through the cracks in a highly competitive market. The Ideal Candidate: * 3+ years experience in home care (LHCSA, MLTC, Medicaid-based services) * Prior experience managing staff * Strong understanding of Medicaid and MLTC processes * Ability to...SuggestedRemote work$24 per hour
...department, including organizing charts, uploading documents, and managing deadlines Assist with internal and external audits (DOH, OMIG, MLTC), including gathering documentation, compiling visit logs, and ensuring data accuracy Monitor email queues and task lists to...SuggestedFull timePersonal Touch Home Care
Brooklyn, NY4 days ago$48.6k - $65.96k
...Acrobat. The Project Liaison maintains control of the division's workflow as directed by the District Managers, Senior Managers of MLTC/MAP Growth, and Director of Growth and Account Network Operations (MLTC/MAP) while working independently to ambitiously handle...SuggestedTemporary workWork experience placement- ...Albany, NY Division of Health Plan Contracting & Oversight (DHPCO) Item 1014 Medicaid Managed Care and Managed Long-Term Care (MLTC) Cost Reporting 50% Remote 50% Onsite Summary: The Medicaid Program Advisor will support the New York Department of Health's...SuggestedWork experience placementWork at officeRemote workFlexible hours
$110.88 - $124.74 per hour
...This position requires 3-5 years of health plan experience in medical management with Medicare and Medicaid Programs (specifically MLTC, MAP, DSNP and MAPD) Experience with both inpatient and outpatient utilization management (medical, pharmacy) Experience with appeal...SuggestedDaily paidPart timeRemote work$50k
...department. Scope of Role & Responsibilities Recertification/renewal of membership Assist all line of business (Medicaid/Medicare/MLTC/CHP/EP) in retaining current qualified members by following a strategic daily work schedule that includes am and pm hours as well as...$17.21 per hour
...Lincoln Job Posting Hiring Rate: $17.21 Classification Salary Range: $17.22 - $25.38 Job Posting: JR2024-00003744 SOS Temp Accountant I - MLTC (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): : Join the Nebraska...Full timeTemporary workWork experience placementWork at officeImmediate startRemote workWork from homeMonday to Friday- ...assignments within the RN scope of practice. Specific Knowledge, Skills, and Abilities: Knowledge of NYS requirements specific to MLTC enrollment and marketing guidelines preferred. Demonstrates excellent communication, negotiation, organizational and public...Daily paidPermanent employmentWork at officeShift work
$19.96 per hour
...Medicaid benefits, including applications, understanding, and applying for any other benefits that they may be entitled to. Assist the MLTC Operations Team with a wide array of departmental initiatives. Position Description Assist with all referrals made to the...Temporary workWork at officeLocal areaImmediate startNascentia Health
Syracuse, NY27 days ago$112.35k
...relationships with its members and providers. Position Overview Meets with applicant, family, and caregiver in person to determine if MLTC program applicants meet the clinical qualifications for enrollment. (i.e., UAS score 5 or greater, needing 120 days of care, safe in...Full time$20 per hour
...contract agencies for the daily operations of the Agency. RESPONSIBLITIES: Working with patients, referral sources, caregivers & MLTC to coordinate home placement, problem solving, and identification of needed home health services. Schedule and coordinate home...Full timeContract workLocal areaWeekend work$55 - $64.5 per hour
...culturally competent, person-centered care to our diverse geriatric population. The candidate should have Managed Long Term Care (MLTC) experience and a strong background in community health and home care, with demonstrated management experience. Compensation: $...Hourly payFull timeTemporary workMonday to Friday$190 - $200 per unit
...computerized systems such as Microsoft Outlook, Microsoft Word, Excel. Fluent in English and Spanish Experience working with MLTC plans Pay per assessment $190-$200 We are an equal opportunity employer and all qualified applicants will receive consideration...Contract work- ...functional, and psychosocial needs to develop individualized care plans. Review and evaluate NY UAS information for members in the MLTC line of business. Coordinates and manages care services across multiple providers and settings, including home care, community...Full timeImmediate startRemote work
- ...Department of Insurance Accident & Health NY License. Working knowledge of Medicaid/Medicare, D-SNP, MAP, and Managed Long Term Care (MLTC) product lines. Valid driver's license and the ability to travel throughout the tri-state area to a variety of community and...Full timeLocal areaWork from home
- ...UM Review Nurse (Utilization Management) Overview The purpose of this job offer is to ensure that Archcare Community Life MLTC members obtain timely, cost-effective, quality care in the appropriate setting. Responsibilities »The primary function of the Utilization...
- ...experience in ambulatory care, community health or home health setting Long Term Support Services (LTSS) or Managed Long-Term Care (MLTC) UAS field RN experience preferred. Excellent written and verbal communication skills. Excellent computer skills and use of...Temporary workWork at office
w3r Consulting
Williamsville, NY3 days ago - ...interpersonal skills required Ability to work independently is required Effective computer and english language skills required Mltc/ managed medicaid experience preferred **community care home health services is committed to ensuring the safety and wellbeing of...Daily paidDay shift
IntelyCare
Smithtown, NY9 hours ago - ...experience in home care intake High school graduate; some college credit preferred Understanding the requirements for CHHA’s and MLTC’s Understanding of communicating effectively with employee, patients and their families, medical and community affiliates in...Work at officeFlexible hours
Preferred Home Care of New York
Brooklyn, NY1 day ago $50 - $55 per hour
....5 hours daily). Overtime may be required. UAS Registered Nurse (Community Based) Requirements Registered Nurse (RN) licensed in NY MLTC, MAP or Maximus experience High School Diploma or GED Attendance is mandatory for the first 90 days. UAS Registered Nurse (Community...Hourly payFull timeContract workTemporary workImmediate startA-Line Staffing Solutions
New York, NY2 days ago
