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Experience in MLTC - understanding of authorizing PCA, DME, PERS, and SADC. Working knowledge of Medicaid and/or Medicare regulations as well as coverage guidelines and benefit limitations. Job DescriptionJob DescriptionRN- Utilization Review Nurse LTSSFull Time 100% Remote OpportunityCOME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE.
ExpandUpdated 19 days ago - UpvoteDownvoteShare Job
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Oversee and facilitate training and development of new and existing staffEnsures that services are provided in compliance with DOHMH, OMH, NYS Medicaid, and Department of Health regulatory requirements, as well as GTRs rigorous policies and procedures.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Arranges for direct provision of services such as homemaker, home health aide, public assistance, Medicare, Medicaid, emergency cash relief, legal aid, protective services, vocational placement, medical and psychiatric examination and therapy, housing, etc.
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With experience, participate in city-wide and state-wide coalitions involving policy advocacy for dual eligibles and other Medicaid recipients. This includes counseling clients on Medicaid eligibility, helping them apply for Medicaid and Medicaid services, and troubleshooting problems through advocacy including administrative hearings.
$51,289 - $55,449 a yearExpandUpdated 21 days ago - UpvoteDownvoteShare Job
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Demonstrated understanding of State policy related to business implications through experience working in the State Legislature, State Medicaid Agency, Medicaid Managed Care, State-level health care advocacy, health policy consulting, or policy think tank.
$150,000 - $220,000 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Document all clients' services in the electronic health records in a timely manner in compliance with Medicaid billing, OASAS/DOHMH, and other regulatory requirements. Experience with clinical documentation, use of electronic health records systems, and Medicaid billing procedures needed.
Part-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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About NYC Health + Hospitals MetroPlusHealth 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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Experience with governmental regulatory requirements, inspections, and audits, including but not limited to the federal DHHS Office of Inspector General (OIG), Centers for Medicare and Medicaid Services (CMS), and Office for Civil Rights (OCR), as well as the NYS Office of Medicaid Inspector General (OMIG), NYS Department of Health (DOH), and NYS Office of Mental Health.
Full-timeExpandUpdated 20 days ago - UpvoteDownvoteShare Job
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Identifies Medicaid eligibility issues and works closely with appropriate departmental staff, Local Department of Social Services (LDSS)/Human Resources Administration (HRA) and Third Party Administrator (TPA) in resolutions.
$23.17 - $28.96 an hourFull-timeExpandUpdated 28 days ago - UpvoteDownvoteShare Job
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The Bureau of Fraud Investigations (BFI) is mandated to conduct investigations of individuals and organized groups allegedly attempting or committing fraudulent acts against the social service programs administered by HRA/DSS. Medicaid Investigations Division exclusively investigates abuse within the Medicaid program by investigating all allegations of fraud within the program.
$55,816 - $64,188Full-timeExpandUpdated 20 days ago - UpvoteDownvoteShare Job
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Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Assist all line of business (Medicaid/Medicare/MLTC/CHP/EP) in retaining current qualified members by following a strategic daily work schedule that includes am and pm hours, as well as weekends.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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MetroPlus Health Plan 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.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Estate attorneys litigate estate matters in Surrogate’s Court and Supreme Court in all five boroughs to recover Medicaid monies due and owing the Department. The Support and Lien Recovery Litigation Unit (SLRLU) provides litigation services and legal counsel to the Commissioner, Office of Child Support Services (OCSS), the Medical Assistance Program (MAP, also known as Medicaid), the Home Care Services Program (HCSP), and the Investigation, Revenue and Enforcement Administration (IREA), in accord with Federal, State and City laws and regulations.
Full-timeExpandUpdated 22 days ago - UpvoteDownvoteShare Job
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About New York Medicaid Choice Maximus New York is currently looking for an experienced Editor/Writer to support its New York Medicaid Choice (NYMC) project in New York, NY. NYMC was established in 1998 to support New Yorkers in selecting and enrolling in a health plan of their choice.
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medicaid job in New York, NY
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