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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.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.
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At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or similar role. The Care Specialist works in patient’s homes and community 90% of the time and virtually the other 10% to deliver chronic care management to high complexity patients.
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Qualifications: Master’s degree in Social Work Required with NY LMSW, OR Master's Degree -Mental Health Counseling with NYS LMHC CASAC-T Preferred Clinical work with youth and families required, including crisis management.
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Familiar with hospital resources, community resources, and utilization management. Integrates and coordinates utilization management, care facilitation and discharge planning functions.
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Demonstrated leadership experience in BH utilization and care management, particularly for members with Severe Mental Illness (SMI), Substance Use Disorders (SUD), co-occurring physical health issues, and dual disorders of mental health and substance abuse.
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Experience in a management position in a health care delivery environment, leading a cyber security program in a healthcare setting, integrating database and web applications, working in a Windows environment, ETL development and tools (i.e., DBT, Airflows, Qlik/Attunity, Mulesoft), and with cloud based products (i.e., Snowflake, Tableau, Databricks.
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Job Description Community/Public Health Nurse- Immigrant Health and Cancer Disparities Fulltime: Four days x 10 hours Monday- Friday flexible schedule; with weekend rotation We are: Providers of compassionate, evidence-based nursing care to Oncology patients and families living with cancer in a healing and innovative environment Nursing at MSKCC You are: Action-oriented and eager to embrace new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
$156,400 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Posted job title: Rn Utilization Review, Clinical About VNS Health VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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POSITION OVERVIEW The Shop Healthy Community Engagement Specialist oversees outreach to bodegas, supermarkets and community organizations in the Brooklyn Bureau of Neighborhood Health.
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Job Description General Description Borough of Manhattan Community College, Center for Adult Continuing Education is looking for a Job Developer to be a part of a holistic team who will provide case management and career services to help ensure 500 trainees complete courses and obtain jobs support.
$65,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Identify, attend, and promote the Homecare program at community meetings, Community events such as tenant associations, parent-teacher associations, and community fairs i.e., street fairs, health fairs, wellness fairs, etc.
$27.64 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our client, a not-for-profit teaching hospital serving an ethnically diverse community in New York City, is hiring a Vice President, Outpatient & Inpatient Behavioral Health. This large community health system in New York, provides an extensive range of emergency, inpatient, and ambulatory mental health and substance abuse programs.
$165,000 - $225,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Aspirus Health is a non-profit, community-directed health system, with a network of 19 hospitals, clinics, post-acute care facilities, and a health plan dedicated to providing high-quality, compassionate care to patients across Wisconsin, Minnesota, and Michigan’s Upper Peninsula.
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They are designed to promote skills for coping with and managing behavioral health symptoms while facilitating the utilization of natural resources and the enhancement of recovery-oriented principles (, and community living skills.
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utilization management community health jobs Company: Metroplus Health Plan in New York, NY
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