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Serves as a subject matter expert and training expert for Clinical Care Management processes and protocols in MetroPlusHealth Systems such as Care Connect, DCMS, Cisco, and all other programs which support MLTC operations.
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Your clients will have already completed a UAS evaluation with a Registered Nurse, and your role will be to determine whether MLTC and home care services are adequate for the patient’s care, or if they should instead be admitted to a supportive facility.
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A maximum of 20 beds are specific for IST consumers identified by Superior Court, Riverside Sheriff's Office (RSO), or Riverside University Health System - Behavioral Health (RUHS-BH) teams. Ten beds are designated for consumers needing residential services with a secondary focus on consumers under Laura's Law/AOT, and Other RUHS-BH and Superior Court Diversion Programs.
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Review and evaluate the assessment and UAS information for members in the MLTC and MAP lines of business. Two (2) to three (3) years clinical experience in certified home health agency (CHHA), Lombardi program and/or MLTC or MAP program.
$105,646 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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This position will be focused on outreach to build strategic relationships with senior centers, physician groups, facilities, MLTC and CHHA contracts/contacts, community-based organizations, community leaders, faith-based organizations, social workers, and discharge planners.
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In this role, you will be scheduled for in person appointments with members of the long term care population, who are applying for Managed Long Term Care services (MLTC). In this role, you will be responsible for independent review and evaluation of completed UAS reassessments for appropriateness of long-term care services for consumers, in accordance with Medicare and Medicaid guidelines.
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In-depth knowledge of all Fidelis Care products, 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 network of competing plans in assigned territory.
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Industry experience in cannabis delivery or other app-based delivery to consumers; Medmen, Cura CS, Kush Bottles, Mammoth Distribution, Weedmaps, BudMan, Instacart, Uber Eats, goPuff, EatStreet.
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Their magazines include Nebraska Life, Colorado Life, Utah Life, and Maui Nō Ka ʻOi. The company values beautiful photography, fine storytelling, and curated advertisements to connect consumers with the places they love.
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Breaking beauty boundaries is in our company’s DNA. Since its game-changing launch of the first opaque nail enamel in 1932 (and later, the first long-wear foundation), Revlon has provided consumers with high-quality product innovation, performance, and sophisticated glamour.
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Reach & Scale: The products and platforms this group builds and operates delight millions of consumers every minute of every day – from Disney+ and Hulu, to ABC News and Entertainment, to ESPN and ESPN+, and much more.
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Tech stack includes Airflow, Spark, Databricks, Delta Lake, Snowflake, Scala, Python. Experience with at least one major Massively Parallel Processing (MPP) or cloud database technology (Snowflake, Redshift, Big Query.
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The Product Management team guides the strategy and vision for Disney's incredible global digital products portfolio - from Disney+, Hulu, ESPN+ and the ESPN App to Marvel Unlimited, National Geographic, ABC and ABC News, and film websites and games.
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In an increasingly digital world, the company is driving purposeful innovation to meet the evolving needs of consumers through its iconic brand portfolio, including Whirlpool, KitchenAid, Maytag, Consul, Brastemp, Amana, Bauknecht, JennAir, Indesit and InSinkErator.
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TEGNA Marketing Solutions (TMS) offers innovative solutions to help businesses reach consumers across television, digital and over-the-top (OTT) platforms, including Premion, TEGNA’s OTT advertising service.
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consumers mltc jobs Title: representative Company: Metroplus Health Plan
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