• Case Manager , Medicaid

    MVP Health Care (Tarrytown, 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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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Yonkers, NY)
    …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... denial decisions. * Resolves escalated complaints regarding utilization management and long -term services and supports (LTSS) issues. * Identifies and reports… more
    Molina Healthcare (11/14/25)
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