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$85k - $106.3k
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare...SuggestedWork experience placementFlexible hours$110k - $125k
Join to apply for the Clinical Nurse Educator (MLTC RN) role at TAG MedStaffing 3 days ago Be among the first 25 applicants Join to apply for the Clinical Nurse Educator (MLTC RN) role at TAG MedStaffing This range is provided by TAG MedStaffing. Your actual pay will be...SuggestedDaily paidFull timePart timeReliefWork at officeImmediate startMonday to Friday$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$72.2k - $115.5k
...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...SuggestedHourly payWork experience placement$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, NY12 days ago- 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
$100k - $135k
Nurse Care Manager 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...SuggestedHourly payWork at officeLocal areaHome officeFlexible hoursWeekend workAfternoon shift$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 - $110k
Hybrid then Remote - RN Care Manager - Bilingual - MLTC Be among the first 25 applicants two weeks ago. Pay Range Provided by Compass Healthcare Consulting and Placement. Your actual pay will depend on your skills and experience. Talk with your recruiter for details. Base...SuggestedRemote jobFull timeSecond jobWork at officeImmediate startRelocation package- RCM Healthcare Services is seeking a Registered Nurse Case Manager for MLTC with bilingual abilities preferred. This hybrid role includes 4 days remote and one day in the field, serving Long Island, Brooklyn, Queens, and Bronx locations. Responsibilities include in-home...SuggestedRemote job
$20 - $25 per hour
...when handling urgent or difficult situations. Preferred Qualifications Experience working in a healthcare, home care, LHCSA, MLTC, Medicaid, or human services setting. Experience providing administrative support to executive leadership. Familiarity with scheduling...SuggestedHourly payFull timeWork at officeWork from homeMonday to FridayAngels In Your Home Lhcsa
Remote1 day ago- ...Registered Nurse NY State License, BS in Nursing or other health related area, preferred. Experience: - Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. - Experience in working independently without significant oversight and or...SuggestedPermanent employmentContract workFree visaWeekend work
Spearhead Staffing
New York, NY2 days ago $60 - $65 per hour
...understand available services and next steps. The ideal candidate will have strong assessment and interviewing skills, experience with MLTC and UAS , and the ability to explain complex healthcare information clearly and compassionately. Required Qualifications...SuggestedContract workLocal areaMonday to FridayFlexible hoursMedix
New York, NY2 days ago$16.48 - $20.61 per hour
...and associated work flow, as well as for performing other duties associated with the coordination of member care as outlined for the MLTC/PCS Team. •Handles both incoming and outgoing calls on the MLTC/PCS ACD •Schedule appointments for Care management staff •Maintain...SuggestedPermanent employmentFull timeTemporary workMonday to FridayNetwork ESC
New York, NY7 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
$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...Work at office- ...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...Work at officeDay shift
$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$50 - $150 per hour
...to obtain certification if applicable). Minimum of one (1) year of nursing experience required. Home Health, Managed Long-Term Care (MLTC), Case Management, or UAS Assessment experience preferred. Strong clinical assessment, critical thinking, and decision-making skills...Hourly payDaily paidFlexible hours- UAS Reviewer - Registered Nurse | Hybrid | New York A small MLTC is looking for a UAS Reviewer to work primarily remotely except for monthly, quarterly meetings on site in the New York/Westchester area. Position Overview The UAS Reviewer will provide training and support...Remote work
- ...clinically proficient and adequately trained no less often than every three months for private pay patients and every six months for MLTC patients. Supervises field activities of Home Health Aides (HCSS). Provides hands-on nursing care during Assessment/reassessment...
- ...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...Full timeMonday to FridayShift work
- ...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
$68.64k - $93.6k
...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 areaRemote workMonday to FridayShift workDay shiftAfternoon shift- ...under Care Management: Conducts and completes Uniform Assessments (UAS) in the member’s home within DOH regulatory timeframes and MLTC plan’s protocols. Nursing Home UAS visits are made as required. Completes all urgent requests for service. Communicates safety issues...Work at office
- ...capacity for executive-level decision-making. Experience working as a case manager for a long-term care program such as PACE, MAP or MLTC. Strong computer skills, including word processing, spreadsheets, and databases. Compliance & Regulatory Responsibilities Noted...Work experience placement
$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...Permanent employmentFull timeTemporary workImmediate startMonday to FridayPhaxis - Healthcare
Bronxville, NYmore than 2 months ago- ...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...Full timeContract workWork at officeMonday to FridayShift work
- ...of member case intake functions and associated workflow, as well as other duties associated with the coordination of member care for MLTC. Job Responsibilities: Complete missing information from documentation received. Confirm conflicting information accuracy...Temporary work
$300k - $350k
...Services (DHHS) is seeking an experienced physician leader to serve as Medical Director for the Division of Medicaid and Long-Term Care (MLTC). As the division's senior clinical executive, the Medical Director provides strategic clinical leadership for Nebraska's Medicaid...
