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$80k - $100k
...and other interdisciplinary team members. Ensure all assessment activities comply with DOH and Medicaid Managed Long-Term Care (MLTC) regulations. Attend staff meetings, trainings, and participate in departmental quality improvement initiatives. Serve as a professional...SuggestedFull timeTemporary workWork at officeImmediate startRelocation packageMonday to FridayFlexible hoursRotating shiftNascentia Health
Rome, NY2 days ago$100k - $115k
...Highly Regarded NYC MLTC Healthplan Hiring Bilingual Case Managers This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $100,000 - $115,000 per year A bit about us: We are...SuggestedLocal areaRelocation packageJobot
New York, NY3 days ago$24.03 - $26.44 per hour
...Job Description MLTC – Field Operations Specialist (Immediate Opportunity) Location: Bronx, NY (4 days field visit and 1 day office) Compensation: $24.03 – $26.44 per hour Job Type: Full Time Job Description A Managed Long Term Care (MLTC) program is...SuggestedHourly payFull timeImmediate startPride Health
New York, NY20 days ago- ...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...Suggested
Angels In Your Home LHCSA
Rochester, NY17 days ago $37.86k
...will be expected to: Complete intake on individuals being served. Provide information, referrals, and assistance navigating the MLTC enrollment and appeal processes. Contact organizations and agencies to mediate and resolve problems. Promptly respond to calls...SuggestedContract workFor subcontractorWork at officeFlexible hoursRCIL
Utica, NY9 days ago$110k - $120k
...clinical expertise, you will assess and document the long-term community-based needs of potential members, ensuring compliance with the MLTC contract to determine eligibility. This position involves conducting in-person UAS-NY assessments and providing essential community-...SuggestedFull timeContract workMonday to FridayVillage Care
New York, NY15 days ago- ...reliability, hard work, enthusiasm and a commitment to outstanding customer service. Possess a solid knowledge of home care services and MLTC's (Managed Long-Term Care) Submit daily reports to management to track progress and activity. Identify leads, manage prospects,...SuggestedFull timeWork at officeWork from homeMonday to FridayFlexible hoursDay shift
YETKIN ADVANCED HEALTHCARE INCORPOR
Desoto, TX4 days ago - ...according to best practice standards and regulatory nursing standards. Maintain relationships and clear lines of communication with MLTC case managers and other members of the care team. Communicate effectively with aides, provide mentoring & positive feedback...SuggestedWork at office
HCR Home Care
Syracuse, NY9 days ago $22.79 - $38.84 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 shift- ...prepared candidates. Prior human services experience required. Experience working in an interdisciplinary service delivery environment and MLTC preferred. Demonstrated assessment skills, strong communication and interpersonal skills and strong comprehensive care planning and...SuggestedRelocation package
MJHS
New York, NYa month ago $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...SuggestedContract work- ...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...SuggestedDaily paidDay shift
$48.79k
...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...SuggestedFull timeWeekend work$24 - $26 per hour
...Billing Coordinator will be responsible for the coordination of patient invoices and electronic billing of VNSW and WCAH private and MLTC accounts receivable. Visiting Nurse Services Westchester, established in 1901, is looking for Physical Therapy professionals in...SuggestedHourly payFull timeTemporary workImmediate startRemote work$112.35k
...applicants/members in their own homes. The Assessment Nurse also completes the UAS assessment tool on members already enrolled in the MLTC programs upon program enrollment, semi-annually and when there is a significant change in condition. Work Shifts 9:00AM-5:00PM...SuggestedFull timeShift work$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...Temporary workWork experience placement$100.9k - $145.78k
...forecasting models to track, measure and trend performance for NYS PHSP products including Medicaid, Essential Plan, HARP, CHPlus and MLTC Respond to requests for analysis and provide analytic support to the Product Managers, Actuarial department and Network/Hospital...Temporary workWork experience placement$400 per day
...Gmail and Microsoft Word/Excel. Preferred Qualifications Bilingual in Spanish/English Familiarity with Medicaid, Medicare, or MLTC plans Experience in outpatient nursing, home care, or community health Proficiency in the Strong documentation and...Daily paidFull timeFlexible hoursRockaway Home Care
Bronx, NY16 days ago- ...authorization platforms Experience with DMEPOS reviews Experience with NCQA UM accreditation standards Prior UM experience for MLTC, Medicaid, or Medicare Advantage plans Working Conditions and Additional Expectations: Full-time remote role requiring...Full timeTemporary workLocal areaRemote work
- ...period calculations, and Medicaid-compliant annuities. • Liaise with local Departments of Social Services (DSS), Managed Long-Term Care (MLTC) plans, and other relevant agencies to ensure timely and accurate application processing. • Maintain detailed records of client...Casual workWork at officeLocal areaWork from homeAfternoon shift
- ...communication skills including documentation clarity Experience as a health plan medical director Experience with DMEPOS UM programs, MLTC, Medicaid, or Medicare Advantage Experience chairing or participating in UM, Credentialing, or clinical governance committees...Full timeContract workTemporary workLocal areaRemote work
- ...psychosocial, and environmental) assessments in the Member's home to assess potential enrollees' appropriateness for Managed Long-Term Care (MLTC), or to reassess a member's status and needs. Developing and maintaining of a person-centered service plan based on a needs'...Work at officeLocal areaMonday to Friday
Elderwood
Rochester, NY1 day ago - ...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, NY1 day ago $105k - $115k
...Home at Riverdale (Parent) Job Type Permanent Offering Nursing Profession RN Specialty MLTC Job ID 16121694 Job Title Nurse Care Manager Shift Details Shift Regular work day...Permanent employmentRelocation packageShift workHebrew Home at Riverdale (Parent)
Bronx, NY1 day ago$90k - $105k
...Job Description RN Care Manager, MLTC - REMOTE Remote job after new hire completes 4-6 months hybrid training: 2 days in office / 3 days remote Salary range: $90,000 - $105,000 based on education and experience $15,000 Sign-on Bonus Bilingual candidates...Work at officeRemote workRelocation packageRCM Health Care Services
New York, NY1 day ago$85k
...psychosocial, and environmental) assessments in the Member’s home to assess potential enrollees’ appropriateness for Managed Long-Term Care (MLTC), or to reassess a member’s status and needs. Developing and maintaining of a person-centered service plan based on a needs’...Full timeWork at officeLocal areaMonday to FridayElderwood
Monroe, NY1 day ago- ...Working in the field for a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), or Managed Long-Term Care (MLTC) § Conducting assessments that are similar to the UAS such as OASIS § Providing primary care to homebound persons § Care...
eTeam
New York, NY3 days 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 Homecare of NY Corporate
New York, NY9 hours ago - ...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
Complete Home Care Holdings
Albany, NY1 day ago $50 - $55 per hour
...in a home setting. (Certified Home Health Agencies (CHHAs), Licensed Home Care Service Agencies (LHCSAs), or Managed Long-Term Care (MLTC)). Strong knowledge of general professional nursing principles and state/agency regulations. Excellent organizational,...TAG MedStaffing
New York, NY4 days ago
