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$100k - $120k
...Clinical Nurse Educator (RN) - MLTC Compensation Salary Range: $100,000 – $120,000+ per year Location: Brooklyn, NY Onsite Position Summary As a Clinical Nurse Educator (RN) within a large MLTC organization, you will support clinical staff by identifying...SuggestedContract workShift workDay shiftRCM Healthcare Services
Brooklyn, NY2 days ago$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, NY2 days ago$105k - $115k
A healthcare organization in New York is seeking a compassionate Registered Nurse to join their Managed Long-Term Care team. The role involves conducting in-home assessments, coordinating care, and supporting older adults. Candidates must hold an active NYS RN license and...SuggestedRelocation package- 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
$40 - $50 per hour
...Sat. Only - Evening Shift Registered Nurse MLTC TN, Memphis - Mark Luttrell Transition Center - Memphis, TN 38134 Position Type Part-Time Job Shift Evening Education Level Associate's Degree Category Nursing Professional & Support Centurion is proud to be the...SuggestedHourly payPart timeShift workAfternoon shift$31 - $38 per hour
...PT Weekends - Licensed Practical Nurse MLTC TN, Memphis - Mark Luttrell Transition Center - Memphis, TN 38134 Overview Position Type Part-Time Job Shift Weekend Education Level High School Diploma/GED Category Nursing Professional & Support Description Centurion...SuggestedHourly payPart timeShift workWeekend workDay shift$72.2k - $115.5k
...learning and performance improvement strategies Excellent written and verbal communications skills Knowledge of Department of Health and MLTC standards for home care Knowledge of Uniform Assessment New York (UAS-NY) Knowledge of Medicare and Medicaid regulations Ability...Suggested$100k - $130k
Pride Health is seeking an Intake Nurse - RN in New York, responsible for assessing new members for eligibility and explaining the program details. The role requires regular travel to patient homes and community settings within a designated territory, collaborating with...Suggested$100k - $135k
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 to meet the member's health needs while promoting quality cost effective outcomes....SuggestedWork at officeLocal areaHome officeFlexible hoursWeekend workAfternoon shift- LeoForce in New York City is seeking an experienced MLTC RN Case Manager who is bilingual in Mandarin. You will coordinate care for MLTC members, engage with health plans, and guide members through services and benefits. This mid-level RN role requires MLTC health plan...SuggestedRelocation package
- ...data REQUIRED SKILLS AND EXPERIENCE Active RN license Minimum 2 years of Home Care experience within a LHCSA, CHHA, or MLTC environment Fluency in English and Mandarin or Cantonese Strong clinical and home care knowledge Experience conducting field...SuggestedWork at office
Insight Global
Flushing, NY12 days ago - ...transportation (or ability to travel throughout assigned territory) Nice to Have Previous experience with Managed Long-Term Care (MLTC), PACE, or Home Care Care management or case management experience Knowledge of Medicare and Medicaid regulations Bilingual...SuggestedPermanent employmentFull timeTemporary workMonday to Friday
HumanEdge
New York, NY1 day ago $60 - $63 per hour
...enrollment and quality outcomes. Requirements: ~ Active NYS RN License ~ BSN preferred ~3+ years of experience in PACE, MLTC, managed care, home care, or related settings ~ UAS-NY experience required ~ Strong assessment, documentation, and communication...SuggestedPermanent employmentFull timeTemporary workImmediate startMonday to FridayPhaxis - Healthcare
Bronxville, NYmore than 2 months 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
- ...We’re Looking For: 2-3+ years of nursing experience Home care experience strongly preferred Open to candidates with backgrounds in MLTC, CHHA, licensed home care, care management, UAS, or similar home care settings Supervisory experience strongly preferred Knowledge of...SuggestedWork at officeMonday to Friday
$45k - $51k
...unparalleled service and valued companionship to our patients. Responsibilities: Contact and educate patients about Managed Long-Term Care (MLTC), Medicaid Advantage Plus (MAP) and Program for All-Inclusive Care for the Elderly (PACE) plans Process patient referrals,...Full timeWork at officeImmediate startMonday to Friday- ...Rochester and Monroe County, providing compassionate, person-centered care through the NHTD Waiver, TBI Waiver, Managed Long Term Care (MLTC), and Personal Care Aide (PCA) programs. Our mission is simple: to keep people out of institutions and in the community where they...Work at officeFlexible hours
$75k - $85k
...drive growth in the Personal Care Services (PCS) Division. This role focuses on maintaining strong partnerships with hospitals, CHHAs, MLTC plans, community organizations, and other referral sources while ensuring a consistent pipeline of qualified referrals. The Account...$34.62 per hour
...customer service to patients, families, and referral partners, supporting relationships with referral sources including hospitals, MLTC plans, CHHAs, rehabilitation centers, and community organizations, serving as a point of contact for referral-related inquiries and...Full timeMonday to Friday- ...people with disabilities into all aspects of community life. Knowledge of various Medicaid waivers and programs: TBI, NHTD, OPWDD, MLTC/MMCs Knowledge of services, community supports and benefit programs available to people with disabilities Knowledge of different disabling...Work at officeWork from home
$75.2k
...contract to run the Independent Consumer Advocacy Network (ICAN), the statewide Ombudsprogram for Medicaid Managed Long Term Care (MLTC). CSS seeks to hire a Helpline Coordinator to provide consumer assistance through the ICAN Helpline. The ICAN Helpline Coordinator will...Contract workLocal areaRemote work2 days per week3 days per week1 day per week- ...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
- ...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...Full timeFlexible hoursShift work
- ...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...Full timeWork at officeShift workDay shift
- ...59s, Nursing Home Account Sheets, PRIs, etc. Maintain accurate records of member’s eligibility status, recertification dates and MLTC provider. Must be knowledgeable on general skilled nursing facility payers and billing procedures. Utilizes various financial...Full timeWork at officeLocal area
- ...center sales environment Home care, healthcare, or social work experience preferred Strong knowledge of Medicare/Medicaid (MCO, MLTC, and other payer types), home care benefits, and multi-state regulations Comfort working with multiple systems, databases, and...Full timeWork experience placementRemote work
$50k - $60k
...patient and caregiver issues. Complete all required reports accurately and within established deadlines. Document patient, caregiver, MLTC, hospital, and other communications accurately and in a timely manner. Escalate urgent patient, caregiver, authorization, or service...Hourly payPermanent employmentFull timeTemporary workLocal areaShift 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. What you'll do Build and...Full time$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...Full timeImmediate start1 day per week- ...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
