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Qualified candidates will have prior RN Case Management experience within Managed Care, Home Care or Hospital Case Management, bilingual Spanish language ability required.
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Under the guidance of the Managed Long-Term Care (MLTC) Manager of Care Managers, the Nursing Home Liaison provides outreach and support to the MetroPlusHealth MLTC Nursing Home (NH) Team. The Nursing Home Liaison is responsible for working with the NH Team on supporting members to achieve and maintain long-term care placement in residential facilities to ensure this is still the most appropriate setting and that all services and supports are properly delivered in that setting.
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Overview:The Adult Protective Services Litigation and Program Counseling Unit represents the agency with respect to support for the Home Care Services Program, the HIV and AIDS Services Administration (HASA), Adult Protective Services (APS), the Medical Assistance Program (MAP), and the Medicaid Managed Care Program.
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Educate member and/or caregiver on relevant chronic diseases, preventive care, medication management (medication reconciliation and adherence), home safety, etc. Minimum 2 years of care management experience in a healthcare setting or in a managed care organization.
$96,682Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Documents services in accordance with their standards and Managed Long Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations. Provides care management services and authorizes/ coordinates services within a capitated managed care system.
$70,000 - $78,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Previous managed care experience in the areas of utilization management and/or case management preferred. Knowledge of Federal and State regulatory requirements for managed care.
$125,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Documents services in accordance with Health Plans Community Care standards and Managed Long Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations.
$87,700 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Hybrid role - Combinations office based in Downtown, Manhattan and Work from Home. *Salary*: $102,000 to - $125,000 ( Depending on Experience ) 2 days per week in Manhattan office, 3 days are work from home.
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Coordinates transitional care management (acute to home, home to skilled nursing facility SNF/custodial, home to hospital and acute to SNF/custodial. Experience as a NY licensed RN working in a home care environment or in an acute, sub-acute, or long-term care (LTC) setting or managed long-term care (MLTCP.
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Train member on relevant chronic diseases, preventive care, medication management (medication reconciliation and adherence), home safety, etc. Minimum 2 years’ prior experience in a health care setting, Care Management, or Managed Care setting required.
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RiverSpring Licensed Home Care Services Agency, Inc., is part of RiverSpring Living which provides a full range of care solutions including nursing home care, managed long term care, assisted living programs, senior housing, rehabilitations services and specialized services such as elder abuse prevention and memory care.
$17 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum of five (5+) years of experience in care/case management, disease management, population health management, utilization review, quality assurance, or discharge planning (preferably within a managed care, home care, or community health organization.
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Train member on relevant chronic diseases, preventive care, medication management (medication reconciliation and/or adherence), home safety, etc. MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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What you need to be successfulTo excel in the role of Care Manager at Village Care, candidates must possess a valid NYS RN License and a minimum of 3 years of relevant experience in Managed Care, Home Care, or Community settings.
$105,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Experience in billing for Managed Care Organizations (MCO) and MLTC billings. Prior home care experience/billing or HHA exchange software. The Billing and Collection oversees collections and manages payments for home care invoices and client services.
Full-timeExpandApply NowActive JobUpdated 20 days ago
home care management managed jobs in New York, NY
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