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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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A pioneer in the social entrepreneurship movement, Housing Works operates 10 high-end thrift shops in Manhattan and Brooklyn and a much-loved Bookstore Cafe in Soho. For more information, visit Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing, healthcare, HIV prevention, and treatment, among other lifesaving services.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Director Care Coordination- Major Responsibilities Criteria A: Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials.
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NYC Family practice or internal medicine physician at an AHF HIV primary care outpatient facility. Full benefits including medical/dental/vision, a 401K or 457B retirement plan, and malpractice/tail coverage Relocation reimbursement up to $10,% outpatient practiceno nights or weekends Organization is the leader in the community for HIV and LGBTQ health research Full support team of Practice Manager, MA, and RNs Public Service Loan Forgiveness CME.
InternExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Facilitate outpatient Medi-Cal billable groups including but not limited to: community living skills, relapse prevention, vocational/education assessment and training referral readiness, basic healthcare and wellness, mindfulness and early recovery skills, substance use disorder education, HIV/AIDS diagnosis education and disease management and mental health symptom management.
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Under the direction of the Director of Care Management (PIC), the Health & Wellness Advisor Level 2 (SW) ensures the promotion of health and wellness of HIV-positive, homeless, and transgender members through the development and oversight of an evidence-informed, individualized Plan of Care that addresses their complex medical, behavioral health and social service needs.
$83,000 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Our global reach, including a clinical research network in five countries in sub-Saharan Africa and in India, has allowed us to make fundamental contributions to understanding the epidemiology, transmission, virology, and immunology of HIV. This work played a key role in facilitating the design of promising HIV vaccine candidates, as well as the discovery of broadly neutralizing antibodies that are now being advanced as promising approaches for HIV prevention.
$85,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Provide continuity of chronic care management including but not limited to well visits, sick visits, hospital follow-ups, immunizations, STI and common infections treatment and education. You will join a full staff of nurses, CHWs, MA’s, providers, and Ryan White program administers, all committed to serving the diverse and underserved patient populations in New Bedford, including immigrants, members of the LGBTQIA+ community and individuals living with HIV/AIDS.
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Candidate must have a strong balance of skills including, but not limited to; clinical experience in HIV treatment and prevention LGBTQ health, especially care for transgender youth; track record of success leading a multidisciplinary staff; academic productivity; and high level administrative skills such as managing program/grant deliverables and CQI initiatives, grant writing and reporting, and budget management.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Services include counseling, HIV prevention, case management, drop-in, daily living services, meals, groups, legal services, syringe exchange and overdose prevention services, mental health, and medical.
$29.07 - $32.51 an hourFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Black people, Indigenous people, people of color, lesbian, gay, bisexual, queer, transgender and gender-diverse people, women, people with abilities in multiple languages, immigrants, people living with disabilities, protected veterans, and formerly incarcerated individuals and individuals living with HIV are all encouraged to apply.
InternExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Clinician with responsibility for providing HIV ambulatory care at NYU Langone Medical Center (60% effort) and clinical service at Bellevue Hospital Center (40% effort). Preferred candidates would have significant clinical and academic experience in HIV medicine, healthcare epidemiology/infection prevention and control and leadership.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Strong attention to detail Highly organized and efficient Desired Skills: CASAC-T or LCSW Experience with individuals with HIV/AIDS, chronic mental illness, and/or chemical dependence and their families Bilingual (English and Spanish.
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We serve as the population health strategist, and policy, and planning authority for the City of New York, while also having a vast impact on national and international public policy, including programs and services focused on food and nutrition, anti-tobacco support, chronic disease prevention, HIV/AIDS treatment, family and child health, environmental health, mental health, and racial and social justice work, among others.
Full-timeExpandApply NowActive JobUpdated 27 days ago
utilization management hiv jobs Company: Metroplus Health Plan in Brooklyn, NY
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