• Case Manager , Medicaid

    MVP Health Care (Tarrytown, NY)
    Case Manager , Medicaid Long Term Support Program 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2302 Friday, ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join… more
    MVP Health Care (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and ... of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This...and Federal guidelines and procedures. - Complete the required case action utilizing the Welfare Management System (WMS) and… more
    City of New York (02/12/25)
    - Save Job - Related Jobs - Block Source
  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (New York, NY)
    …detectives, data analysts, and legal support analysts to conduct complex, long -term healthcare fraud investigations. The Medicaid program provides health ... Care Center, Inc. Additional recent significant cases include the: indictment of a Long Island physician for defrauding Medicaid and subjecting patients to… more
    New York State Civil Service (02/12/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager , Ltss LCSW or LMSW…

    Molina Healthcare (New York, NY)
    …people who are eligible for Medicaid and Medicare. We are looking for a Case Manager with a LMSW or LCSW licensure. Experience with Long -term Services ... business. _Senior Whole Health by Molina_ is a Managed Long -Term Care (MLTC), and Medicaid Advantage (MAP)...CCA, PEGA knowledge and proficient MS Excel experience. The Case Manager must have the ability to… more
    Molina Healthcare (04/30/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager Registered Nurse…

    CVS Health (Westwood, NJ)
    …for eligible external candidates who possess NJ Choice Certification_** **This is a remote Case Manager opportunity with** **50 to 75% field travel in Bergen ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
    CVS Health (04/16/25)
    - Save Job - Related Jobs - Block Source
  • 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 (04/23/25)
    - Save Job - Related Jobs - Block Source
  • NORC Case Manager - Aging Services…

    Goddard Riverside (New York, NY)
    NORC Case Manager - Aging Services - West Side NORC Job Details Job Location GRCC NORC - New York, NY Position Type Full Time Salary Range $45742.00 - $52000.00 ... support services provided by on-site Goddard Riverside staff. Position Summary:The NORC Case Manager provides individualized services to enable seniors to live… more
    Goddard Riverside (03/11/25)
    - Save Job - Related Jobs - Block Source
  • RAUM Manager - Full Time - Days

    The New Jewish Home (Mamaroneck, NY)
    …Utilizes critical thinking skills and collaborates with rehab and nursing to capture the Medicaid case mix which reflects the care and services provided. Job ... Home ,Sarah Neuman campus in Westchester,is currently seeking a Full Time RAUM Manager to join their team! Job Summary Responsible for accurate and thorough… more
    The New Jewish Home (04/10/25)
    - Save Job - Related Jobs - Block Source
  • Office Manager

    City of New York (New York, NY)
    …that will enhance his or her well-being. HASA provides intensive case management, rental assistance, emergency and non-emergency housing, and assistance with ... applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides...Principal Administrative Associate II to function as an Office Manager who will: Under the direction of the Administrative… more
    City of New York (02/12/25)
    - Save Job - Related Jobs - Block Source
  • Manager , Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our grievance ... day-to-day activities for staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines.… more
    VNS Health (03/05/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Assessment Manager , UAS Field…

    VNS Health (Manhattan, NY)
    …practice as a Registered Professional Nurse in New York State required + Certified Case Manager preferred Education: + Bachelor's Degree in nursing or equivalent ... skills to assess and document all aspects of the potential members long -term community-based needs. + Communicate with members, families, providers, and other… more
    VNS Health (03/04/25)
    - Save Job - Related Jobs - Block Source
  • 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 (02/12/25)
    - Save Job - Related Jobs - Block Source
  • RN Uniform System Assessor field travel in…

    Molina Healthcare (Manhattan, NY)
    …Skills and Abilities **Preferred Qualifications:** * Bachelor's degree in Nursing * CCM- Certified Case Manager , CCP - Chronic Care Professional. * Home Care, ... business. Senior Whole Health by Molina is a Managed Long -Term Care (MLTC), and Medicaid Advantage (MAP)...experience with focus in managed care, including disease or case management * UAS experience * Experience conducting home… more
    Molina Healthcare (04/24/25)
    - Save Job - Related Jobs - Block Source
  • 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 (02/12/25)
    - Save Job - Related Jobs - Block Source
  • Social Worker (Field - Westchester County, NY)…

    CVS Health (White Plains, NY)
    …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions… more
    CVS Health (05/01/25)
    - Save Job - Related Jobs - Block Source
  • 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 (04/22/25)
    - Save Job - Related Jobs - Block Source
  • 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 (04/09/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long -Term Services & Supports issues. + Identifies and reports quality of… more
    Molina Healthcare (04/17/25)
    - Save Job - Related Jobs - Block Source