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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.
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Investigates and reviews routine and complex situations and underlying issues, analyzes and solves problems, focusing primarily on issues of medical necessity, quality of care, long term services and supports, etc.
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Rich in history, graced with sweeping sandy beaches and natural beauty, yet within easy commute of the bright lights and big action of New York City, Long Island beckons with its rugged coastline, forests, historic sites and charming seaside villages.
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If you're a proficient Registered Nurse with a minimum of two (2) years of recent experience in a home environment within the past fifteen (15) years , this could involve working with a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), Managed Long Term Care (MLTC), or experience in home care as a paraprofessional (e.g., Home Health Aide or Licensed Practical Nurse (LPN), including Private Duty Nursing , we invite you to submit your application.
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Maximus is currently hiring hybrid remote Registered Nurse Assessors for the New York Independent Assessor Program, conducting UAS assessments to determine eligibility for community-based long-term services.
$100,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our relationships with numerous healthcare facilities - including hospitals, home health agencies, and long-term care facilities - enable us to offer the most current travel nurse, local staffing, rapid response and crisis nurse jobs nationwide.
$2,623.29 a weekFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Minimum of 2 years' home setting experience, including work with CHHAs, LHCAs, MLTC, or as a paraprofessional (e.g., HHA, LPN and/or Private Duty Nursing). You'll be diving into consumer homes and conducting assessments through cutting-edge telehealth methods, making every day a thrilling adventure.
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Experience as an RN working in a home care environment or in an acute or sub- acute or long-term care (LTC) setting or managed long-term care (MLTC) Castle Rock Home Care is currently looking for a Per-Diem Registered Nurse (RN) for home care assessments and aide supervisions.
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Under the Medicare and Medicaid Programs, Reform of Requirements for Long-Term Care Facilities, as outlined in Section 483.60 of Title 42 of the Code of Federal Regulations all newly-hired Dietitians, Levels I-IV assigned to a Post-Acute Care (Long-Term Care) facility, are required to have New York State Certification, issued by the New York State Education Department (NYSED), as a Dietitian-Nutritionist at the time of hire.
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The ideal candidate will possess a strong knowledge in long term wound care in a nursing & rehab facility. Wound Care Registered Nurse (RN) Wound Care Registered Nurse (RN) Regal Heights Rehabilitation and Health Care Center is looking for a Full Time Wound Care Nurse to join our team.
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It's famed for its Atlantic beaches, including Long Island Beach, Atlantic City, Ocean City, and Cape May. Tour a battleship, stroll along the pier, or visit an alpaca farm during your assignment.
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Montgomery Nursing and Rehabilitation Center is committed to being the premier provider and employer of choice in Short Term Rehabilitation, Sub-Acute, and Long Term Healthcare services for the Hudson Valley area.
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Montefiore Medical Center is the teaching hospital for the Albert Einstein College of Medicine and is in the Bronx, a short drive or public transit commute from Manhattan and also easily accessible from Westchester County, Long Island and northern New Jersey.
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Healthcare Services Group (HCSG), a leader in the long-term care market, is seeking a Registered Dietitian Nutritionist (RD, RDN) to work in your area. Learn more about the role of Registered Dietitians in long-term care facilities from an HCSG Director of Clinical Operations inthis video.
$40 an hourPart-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Complete Care at Chestnut Hill, a premier long-term care facility, is seeking an enthusiastic and compassionate RN Weekend Supervisor to join our team. Experience in a long-term care or similar healthcare setting preferred.
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long job Title: registered in Hoboken, NJ
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