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Individuals that have MLTC, MAP or Maximus experience. MLTC, MAP or Maximus experience. Key Skills: MLTC , MAP , UAS. Individuals that have MLTC, MAP or Maximus experience. MLTC, MAP or Maximus experience.
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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.
$27.64 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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.
RemoteExpandUpdated 21 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). 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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Documents services in accordance with their standards and Managed Long Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations. MLTC Care Management. Provides care management services across sites and collaborates with appropriate facility discharge planner and/or HCC when members are transitioned between settings.
$70,000 - $78,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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. 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.
$93,000 a yearPart-timeExpandUpdated 21 days ago - UpvoteDownvoteShare Job
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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.
$100 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York.
Part-timeExpandUpdated 21 days ago - UpvoteDownvoteShare Job
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MLTC/ Managed Medicaid experience preferred Community Care Home Health Services is committed to ensuring the safety and wellbeing of our patients and team members, so we may continue serving our communities by delivering exceptional care.
$75 - $90 a dayExpandApply NowActive JobUpdated Today - 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, field locations as well as weekends.
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Experience with MLTC experience is a plus but is not required. Adult Day Health Care Center (ADHC) is seeking marketers in the Brooklyn and Queens communities to advertise/network our services and invite individuals to tour our facilities.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Overview RiverSpring Health Plans serves over 16,000 frail individuals and help them live in their homes and independently for as long as possible.
$200,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Join our healthcare client's team as a Nurse Care Manager for Managed Long-Term Care (MLTC). Join our healthcare client's team as a Nurse Care Manager for Managed Long-Term Care (MLTC). This hybrid role involves providing care coordination, including in-home assessments, planning, facilitation, advocacy, and authorization of covered plan services to meet members' health needs while promoting quality, cost-effective outcomes.
$110,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Specialist is responsible for overseeing all aspects of member retention and being a single point of contact across all issues that are directed to the department including, but not limited to the following:Job DescriptionRecertification/Renewal of MembershipAssist 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, field locations as well as weekends.
$45,277Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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A health services network in New York City is currently seeking an experienced, licensed Registered Nurse (RN) to join their team in the Bronx as a Care Delivery Manager.
$128,000ExpandApply NowActive JobUpdated Today
mltc job in New York, NY
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