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- ...Medicaid & Long-Term Care (MLTC) Finance Internship (Summer 2026) (Evergreen) (Open) The MLTC Finance Internship offers a hands-on opportunity to support the financial operations behind Nebraska's Medicaid and Long-Term Care programs. This role is ideal for students...SuggestedSummer workInternship
- ...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, NY7 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 shiftFidelis Care
East Syracuse, NY6 days ago- ...: High school degree Shift Details : M-F schedule 9A-5P Job Description: • 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, field locations...SuggestedContract workShift workWeekend work
ProKatchers LLC
New York, NY2 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...SuggestedFull timeWork at officeDay shift
HCR Home Care
Syracuse, NY29 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, TX24 days ago - ...patient outcomes. Build and maintain a culture of accountability, teamwork, and continuous improvement. Set long-term goals for MLTC and Pediatric service lines, ensuring sufficient resources and sustainable growth. Represent the Home Care Department in...SuggestedFull timeWork at officeShift workDay shift
$80k - $128k
...practice, processes and procedures ensuring accurate member care needs are met and documented per the managed long term care program (MLTC) insurance regulations. Core Job Responsibilities Coordinates the daily work within the Case Management function. Relays and...SuggestedFull timeWork from homeShift 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 payTemporary workImmediate startRemote 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...SuggestedFull timeImmediate startRemote work
- ...Processing: Verify detailed insurance information for all services provided at the Center, including but not limited to Commercial, MLTC and supplemental plans. Screen and complete insurance applications for eligible patients. Process payment plans/bills, when...SuggestedPermanent employmentWork at officeImmediate start
$67k
...tools to determine the needs of our member population Link members to resources in the community outside of the scope of services MLTC provides to support social determinants of health. Interacts continuously with members, family, physician(s), and other resources...SuggestedFull timeWork experience placementLocal areaMonday 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...SuggestedContract 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...SuggestedTemporary workWork experience placement- ...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...SuggestedFull timeTemporary workLocal areaRemote work
$75k - $85k
...Language: Spanish bilingual Experience: Minimum two (2+) years work experience in healthcare business development; preferably with MLTC, MAP, or PACE programs and/or homecare. Knowledge of community-based long-term care services to dual eligible and frail adult...Full timeWork experience placementWork at officeMonday to FridayFlexible hoursNight shiftWeekend work$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$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 Friday- ...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
$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...Hourly payFull timePart timeLive inWork at officeLocal areaRemote workFlexible hoursAfternoon shiftCentene Corporation
Westbury, NY23 hours ago- ...operations, productivity, utilization, and compliance · Ensure EMR workflows support NY DOH regulations, LHCSA requirements, Medicaid and MLTC documentation standards, and payer audit readiness · Lead EMR-related audit preparation, corrective action planning, and...
Always Compassionate Health
Melville, NY3 days ago $100 per hour
...scheduled for in person appointments with members of the long term care population, who are applying for Managed Long Term Care services (MLTC). Your clients will have already completed a UAS evaluation with a Registered Nurse, and your role will be to determine whether MLTC...Hourly payContract workFor contractorsRemote workMonday to FridayMed-Scribe
Watertown, NY1 day ago$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...Part timeShift workMetroPlusHealth
New York, NY3 hours agonew
