• Case Manager , Medicaid

    MVP Health Care (Rochester, NY)
    …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to ... Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or... Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
    MVP Health Care (10/15/25)
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  • Medicaid Enroll&Outrch Spc I

    University of Rochester (Rochester, NY)
    …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
    University of Rochester (08/20/25)
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  • Case Manager , RN or Licensed…

    Excellus BlueCross BlueShield (Dewitt, NY)
    Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
    Excellus BlueCross BlueShield (10/11/25)
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  • Case Manager

    Independent Health (Buffalo, NY)
    …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Case Manager (CM) will be responsible for helping members achieve a ... using available resources to promote quality cost-effective outcomes. The Case Manager will apply the guiding principles...+ Assess the patient's broad spectrum of immediate and long -term needs through evaluation of the patient's social and… more
    Independent Health (10/07/25)
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  • Housing Substance Use Case Manager

    GMHC (New York, NY)
    Housing Substance Use Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time ... Description TheHousing Substance Use (SU) Case Manager (CASAC)provides client-centered substance use counseling and case management to individuals enrolled… more
    GMHC (07/23/25)
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  • Case Manager - Adult Residential…

    Equinox, Inc (Albany, NY)
    Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... mental illness and an addiction that need 24/7 support. Position Summary: The Residential Case Manager is responsible for providing service plan development and … more
    Equinox, Inc (08/01/25)
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  • Financial Case Manager

    Rochester Regional Health (Rochester, NY)
    …ManagerDepartment: Health Information Management Location: Alex Park SUMMARY: The Financial Case Manager is responsible for reviewing uninsured and under-insured ... per policy for hospital and clinical accounts. * Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements,… more
    Rochester Regional Health (09/23/25)
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  • Bilingual RN Care Manager - Remote,…

    Humana (Albany, NY)
    …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
    Humana (09/26/25)
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  • Program Manager - Center of Excellence…

    Albany Medical Center (Albany, NY)
    …ongoing consultation as needed. + Counsel and refer families regarding SSD, Medicare, Medicaid , Managed Long Term Care Programs, TBI programs, etc. + Liaison ... $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany...Related to Center Operations: + Recruit, hire and supervise case managers in CEAD. Provide leadership and expertise to… more
    Albany Medical Center (08/25/25)
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  • Manager , Dental Operations

    Callen-Lorde Community Health Center (New York, NY)
    MANAGER , DENTAL OPERATIONS Job Details Job Location Callen-Lorde Community Health Center - Manhattan - New York, NY Position Type Full Time Education Level 2 Year ... Role We are seeking aManager of Dental Operations (Practice Manager ) to join our team. This role is critical...wait-time reports; implement strategies to enhance patient access and case completion. + Resolve patient service concerns in accordance… more
    Callen-Lorde Community Health Center (10/04/25)
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  • Program Manager - Adult Residential…

    Equinox, Inc (Albany, NY)
    Program Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12206) Job Type Full-time Description Equinox is a non-profit ... and an addiction that need 24/7 support. This position will be the Program Manager at our Holt House Residence. Position Summary: The Program Manager will… more
    Equinox, Inc (08/28/25)
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  • Health Actuary Manager

    Deloitte (Rochester, NY)
    Health Actuary Consulting Manager Human Capital Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape ... on October 31, 2025. Work you'll do As a Manager in Deloitte Human Capital, you will provide strategic...Risk adjustment mechanisms + Group insurance products including disability, long term care, etc. + Mergers and Acquisitions +… more
    Deloitte (08/19/25)
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  • Center Director

    City of New York (New York, NY)
    …are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... criteria last year to include the provision of HASA case management services to all persons diagnosed with HIV....case transactions to be reported to the Regional Manager . - Provide primary oversight and final approval/ disapproval… more
    City of New York (07/18/25)
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  • Center Director

    City of New York (New York, NY)
    …are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... amended the eligibility criteria last year to include the provision of HASA case management services to all persons diagnosed with HIV. Persons diagnosed with HIV… more
    City of New York (07/18/25)
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  • Eligibility Worker

    City of New York (New York, NY)
    …based on Local Law 49 and the Henrietta D. versus Giuliani Federal court case , to ensure that HASA clients are serviced promptly. HASA provides intensive case ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services… more
    City of New York (08/13/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (East Syracuse, NY)
    …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
    Elevance Health (10/14/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The...and Medicare recipients that need in home care and Long -term care services, + Care Managers who will manage… more
    Centers Plan for Healthy Living (10/14/25)
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  • MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of all Minimum… more
    Glengariff Rehabilitation and Healthcare Center (09/25/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care...assistance. 13.Interacts with medical and professional staff on a case by case basis to obtain appropriate… more
    Mount Sinai Health System (08/08/25)
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  • Clinical Program Manager -13050-001

    Mount Sinai Health System (Jamaica, NY)
    **Job Description** The Clinical Program Manager will have clinical and administrative responsibilities to ensure that the Department of Neurology is run according ... will directly report to the Director of Neurology. The manager will act as the Supervising Advanced Practice Provider,...on Certification of Physician Assistants + DEA number + Medicaid number + Ability to remain positive and supportive… more
    Mount Sinai Health System (09/11/25)
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