• Managed Long Term

    LA Care Health Plan (Los Angeles, CA)
    Managed Long Term Services and Supports Coordinator II Job Category: Clinical Department: Managed Long Term Services and Supports ... net required to achieve that purpose. Job Summary The Managed Long Term Services...ensure members, families, and caregivers have access to a service delivery system that improves the well-being of our… more
    LA Care Health Plan (04/11/24)
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  • Sr. Analyst, Managed Markets & Specialty

    J&J Family of Companies (Raritan, NJ)
    …needs for Pharmacy Benefit Managers (PBM), Managed Care Organizations (MCO) and Long Term Care (LTC) GPOs and pharmacies administered by the Managed ... Sr. Analyst, Managed Markets & Specialty - 2406181693W **Description** Johnson...benefit programs: medical, dental, vision, life insurance, short- and long - term disability, business accident insurance, and group… more
    J&J Family of Companies (04/17/24)
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  • Bilingual Relationship Coordinator

    Healthfirst (NY)
    …via telephonic efforts in support of Healthfirst's Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care Plan (MLTC) Senior Health Partners ... and optimal operational efficiency. + Connects consumers seeking personal care/ long term care services with...knowledge of Complete Care, Senior Health Partners (SHP) or managed long - term care. + Prior… more
    Healthfirst (04/03/24)
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  • Clinical Operations Executive

    LA Care Health Plan (Los Angeles, CA)
    …management of the Utilization Management (UM), Case Management (CM), and Managed Long Term Supportive Services (MLTSS) teams alongside a clinical dyad ... Responsible for internal health plan operations in care management, utilization management, and managed long - term supportive services , among other… more
    LA Care Health Plan (03/10/24)
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  • Bilingual Entitlement Advocate

    Healthfirst (New York, NY)
    The Entitlement Advocate provides Healthfirst's Medicare Advantage Plan(MAP), Managed Long - Term Care Plan(LTC), Dual eligible Medicare Plan and Nursing Home ... requirement for enrollment. + Transfer and connect consumers seeking Long Term Care services with...sub-acute, long - term care setting, or managed - long term care + Have… more
    Healthfirst (04/03/24)
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  • Bilingual Associate Manager, Clinical Health…

    CVS Health (Albany, NY)
    …personal, convenient and affordable. Position Summary: Join our Aetna Better Health MLTC ( Managed Long - Term Care ) Assessment Team! The Associate Manager ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more
    CVS Health (03/22/24)
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  • Medicaid Registered Nurse DHPCO

    Public Consulting Group (NY)
    …assure appropriate access and delivery of health services to Medicaid members receiving long term care service and supports. The incumbent will interact ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services . SSO...Assist Division of Health Plan Contract Oversight, Bureau of Managed Long Term Care (BMLTC),… more
    Public Consulting Group (03/26/24)
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  • Field Case Manager RN Hudson County

    CVS Health (Trenton, NJ)
    …visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long - Term Services and Supports program (MLTSS). ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more
    CVS Health (04/02/24)
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  • UAS Assessor RN- Field-New York

    CVS Health (Albany, NY)
    …for up to a $5,000 sign on bonus upon hire. Join our Aetna Better Health MLTC ( Managed Long Term Care ) Assessment Team! We're looking for an experienced RN ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more
    CVS Health (03/29/24)
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  • Medicaid Consultant

    City of New York (New York, NY)
    …for or in receipt of services through one of the CASA offices, the Managed Long - Term Care (MLTC) Program, the Assisted Living Program (ALP), and the ... MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Home Care Services Program...daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC)… more
    City of New York (01/30/24)
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  • Assessment RN

    CDS Life Transitions (Webster, NY)
    …out more! OVERVIEW: Assess applicants in the community for eligibility and enrollment in our Managed Long Term Care program. Provide an overview of program ... iCircle is a licensed non-profit Managed Care Organization offering a health plan to...UAS-NY and paraprofessional time tasking tool. + Utilize iCircle Services designated criteria along with clinical knowledge and expertise… more
    CDS Life Transitions (04/06/24)
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  • Intake Specialist

    New York Health Care (Valley Stream, NY)
    …information and financial reimbursement information. + Contact patients and educate them on the Managed Long Term Care Program + Entry of referral on ... websites available and direct phone calls to Insurance companies. + Contacts service representatives at Managed Care Insurance companies to verify eligibility… more
    New York Health Care (04/09/24)
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  • Long Term Care Functional Screener

    Humana (Madison, WI)
    …travel within all FCP iCare service area(s): Dane and Sauk Counties. ** Long Term Care Functional Screener (LTCFS) Required Qualifications** + Must be ... for screening members within the iCare Family Care Partnership service areas, as well as participate in all iCare...physical disability, or intellectual/developmental disability. + Knowledge of public long - term care, managed care, &… more
    Humana (04/18/24)
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  • I & A Options Specialist

    Outagamie County (Appleton, WI)
    …and Disenrollment counseling to consumers seeking enrollment or disenrollment from Wisconsin's managed long - term care options: Family Care, Family Care ... resources. + Make referrals to other agencies for additional services as requested or as appropriate. + Maintain working...turning 18 years old. + Certification as an adult Long Term Care Functional Screener is required… more
    Outagamie County (04/18/24)
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  • MEU Intake Clerk

    City of New York (New York, NY)
    …with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living ... YOU MUST BE PERMANENT IN THE CLERICAL ASSOCIATE CIVIL SERVICE TITLE. IF YOU ARE HIRED PROVISIONALLY IN THE...Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and… more
    City of New York (01/30/24)
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  • Manager, Account Management - Medicaid LTC…

    CVS Health (Albany, NY)
    …for teamwork, client service and fun Preferred Qualifications- Knowledge of Medicaid and Managed Long Term CareEducation - BA or BS preferred or one ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more
    CVS Health (03/15/24)
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  • Caseworker

    City of New York (New York, NY)
    …with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living ... a member of a team, identifies, develops, and implements service plans for New York City residents who demonstrate...Title XIX, which provides coverage for long term care and home care services to… more
    City of New York (03/01/24)
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  • Registered Nurse, Per Diem

    RiseBoro Homecare Inc. (Brooklyn, NY)
    …Human Resources Administration (HRA), Managed Care Organization (MCO), and Managed Long - Term Care (MLTC) guidelines. Additionally, the Registered ... works under the supervision of the Direction of Patient Services and Nursing Supervisor with the understanding that work...with appropriate agency and/ or MD regarding recommendations for service changes + Report any patient incident or complaint;… more
    RiseBoro Homecare Inc. (01/31/24)
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  • Enhanced Care Management Clinical Specialist II…

    LA Care Health Plan (Los Angeles, CA)
    …care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social ... and technical assistance to ECM Providers to support effective delivery of ECM services and ensure compliance with local, State, and Federal regulations, statues and… more
    LA Care Health Plan (03/03/24)
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  • Care Delivery Manager

    CenterLight Health System (NY)
    …& treatment clinic preferred. + Customer Service experience is required. + Managed long - term care insurance experience beneficial. + Minimum of 1-year ... and complete the process of Interdisciplinary Team (IDT) meetings, Service Delivery Requests (SDR), and other meetings. This includes...between care settings. + Coordinates, facilitates, and arranges for long - term care services in nursing… more
    CenterLight Health System (04/10/24)
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