Medicaid Care Manager Team Lead
3 weeks ago
Innova Solutions is seeking a highly skilled Medicaid Care Manager Team Lead to join our team. As a key member of our healthcare operations team, you will be responsible for leading a team of care managers in the utilization management of inpatient and home care services.
Key Responsibilities:- Lead a team of care managers in the utilization management of inpatient and home care services
- Conduct peer-to-peer discussions with physicians and other healthcare professionals to educate them on current policies and medical management issues
- Assist in the assessment and review of new technologies and clinical policies
- Facilitate research on evidence-based medical necessity and appeal reviews
- Supervise retrospective reviews of claims to identify areas for improvement in care and cost reduction
- Conduct analyses to identify trends and patterns suggestive of inappropriate or excessive use of services or equipment
- Participate in department committees and perform other duties as assigned by the Chief Medical Officer
- Doctor of Medicine or Doctor of Osteopathic Medicine degree from an accredited and approved school of medicine
- Minimum of three years' clinical experience
- Minimum of two years' experience in a managed care setting, particularly in utilization management
- Valid and current license to practice medicine in the state of New York
- Board Eligible/Certification
Innova Solutions is a global leader in technology and business transformation solutions. We deliver strategic solutions to our clients, enabling them to operate as leaders in their fields. We are committed to equal employment opportunity and prohibit any kind of unlawful discrimination and harassment.
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States Innova Solutions Full timeJob Title: Medicaid Care Manager Team LeadInnova Solutions is seeking a highly skilled and experienced Medicaid Care Manager Team Lead to join our team. As a key member of our healthcare operations team, you will be responsible for leading a team of care managers in the utilization management of Medicaid services.Key Responsibilities:Lead a team of care...
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States MetroPlusHealth Full timeJob Title: Medicaid Care Manager Team LeadAt MetroPlusHealth, we are committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, we invite you to join our team.About MetroPlusHealthMetroPlusHealth provides the highest quality healthcare...
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Medicaid Care Manager Team Lead
3 weeks ago
New York, New York, United States NYC Health Hospitals Full timeJob Title: Medicaid Care Manager Team LeadAt NYC Health + Hospitals, we are committed to providing high-quality healthcare services to our community. We are seeking a highly skilled and experienced Medicaid Care Manager Team Lead to join our team.Job Summary:The Medicaid Care Manager Team Lead will be responsible for ensuring that staff adhere to Medicaid...
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States MetroPlus Health Plan Full timeJob Title: Medicaid Care Manager Team LeadAt MetroPlus Health Plan, we are committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, we invite you to join our team.Job Summary:The Medicaid Care Manager Team Lead ensures that staff adhere...
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States NYC Health Hospitals Full timeJob Title: Medicaid Care Manager Team LeadAt NYC Health + Hospitals, we are committed to providing high-quality healthcare services to our community. We are seeking a highly skilled and experienced Medicaid Care Manager Team Lead to join our team.Job Summary:The Medicaid Care Manager Team Lead will be responsible for ensuring that staff adhere to Medicaid...
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Medicaid Care Manager Team Lead Position
1 week ago
New York, New York, United States NYC Health Hospitals Full timeJob Title: Medicaid Care Manager Team LeadAt NYC Health + Hospitals, we are committed to providing the highest quality healthcare services to our community. We are seeking a highly skilled and experienced Medicaid Care Manager Team Lead to join our team.Job Summary:The Medicaid Care Manager Team Lead will be responsible for ensuring that staff adhere to...
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States Innova Solutions Full timeJob SummaryInnova Solutions is seeking a highly skilled Medicaid Care Manager Team Lead to join our team. As a key member of our healthcare operations team, you will be responsible for overseeing the utilization management process, ensuring that patients receive the most appropriate care while minimizing costs.Key Responsibilities:Perform utilization...
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Medicaid Care Manager Team Lead
3 weeks ago
New York, New York, United States MetroPlusHealth Full timeAbout MetroPlusHealthMetroPlusHealth is a leading healthcare provider in New York City, committed to empowering New Yorkers by uniting communities through care. Our mission is to provide high-quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island.Job SummaryWe are seeking a highly skilled Medicaid Care Manager Team...
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States NYC Health Hospitals Full timeJob SummaryThe Medicaid Care Manager Team Lead is responsible for ensuring that staff adhere to Medicaid contractual requirements, policies, and procedures, and workflows established to manage the vulnerable Medicaid population.This role involves providing clinical guidance and supervision to assigned Care Managers and clinical support staff to promote...
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States MetroPlus Health Plan Full timeJob SummaryAs a Medicaid Care Manager Team Lead at MetroPlus Health Plan, you will play a critical role in ensuring the delivery of high-quality care management services to our vulnerable Medicaid population. This position requires a strong clinical background, excellent leadership skills, and the ability to motivate and guide a team of care managers to...
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Medicaid Care Manager Team Lead
2 weeks ago
New York, New York, United States MetroPlusHealth Full timeJob SummaryMetroPlusHealth is seeking a highly skilled Medicaid Care Manager Team Lead to oversee the daily activities of the Medicaid team and ensure quality outcomes in the delivery of member-centered case management. The ideal candidate will have a strong background in care management, clinical guidance, and supervision, as well as experience in workflow...
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Medicaid Application Specialist
4 weeks ago
New York, New York, United States Genesis Healthcare Full timeMedicaid Application Coordinator Job DescriptionGenesis HealthCare is a leading provider of healthcare services, offering a wide range of living options and professional clinical services. We are committed to delivering high-quality healthcare and everyday compassion.Job SummaryWe are seeking a skilled Medicaid Application Coordinator to provide onsite or...
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Medicaid Eligibility Specialist
2 weeks ago
New York, New York, United States Metropolitan Jewish Health System Full timeMedicaid Eligibility SpecialistLocated in the heart of the community, our 705-bed rehabilitation and nursing care facility is dedicated to providing quality care through diverse programs and services designed to support health and independence for individuals needing short-stay or long-term inpatient care.As a Medicaid Eligibility Specialist, you will play a...
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Medicaid Eligibility Specialist
3 weeks ago
New York, New York, United States MJHS Full timeJob Title: Medicaid CoordinatorReq #: 1237 Job ID: 12860Job Location:New York, NYCategory:Office and Administrative SupportAgency:Isabella Center for Rehabilitation & Nursing CareJob Type:Regular Full-TimeOffice:Office-basedSalary:$46, $58,300.19 per yearWe are seeking a highly skilled Medicaid Coordinator to join our team at Isabella Center for...
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Medicaid Program Advisor
2 weeks ago
New York, New York, United States Staffing Solutions Organization LLC Full timeJob Title: Medicaid Program AdvisorStaffing Solutions Organization LLC (SSO) is seeking a highly skilled Medicaid Program Advisor to join our team. As a Medicaid Program Advisor, you will play a critical role in supporting the Bureau of Adult Special Populations (BASP) in its mission to promote health, independence, and quality of life for individuals with...
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Medicaid Eligibility Specialist
4 weeks ago
New York, New York, United States Metropolitan Jewish Health System Full timeMedicaid Eligibility SpecialistLocated in the heart of Washington Heights, a 705-bed rehabilitation and nursing care facility is dedicated to providing quality care through diverse programs and services. Our mission is to support health and independence for individuals needing short-stay or long-term inpatient care.Key Responsibilities:Establish and maintain...
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Medicaid Eligibility Specialist
4 weeks ago
New York, New York, United States City of New York Full timeJob SummaryWe are seeking highly motivated and detail-oriented individuals to join our team as Eligibility Specialists II, functioning as EIS Case Reviewers. As a key member of our team, you will be responsible for reviewing Medicaid applications, conducting interviews, and determining eligibility for Medicaid benefits.Key ResponsibilitiesRespond to client...
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Medicaid Eligibility Specialist
7 days ago
New York, New York, United States City of New York Full timeJob DescriptionAs a Medicaid Eligibility Specialist with the City of New York, you will play a critical role in ensuring that individuals receive the long-term care services they need. This position involves reviewing Medicaid applications and renewals for consumers applying for or in receipt of Home Care Services.Key Responsibilities:Review Medicaid...
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Medicaid Eligibility Specialist
4 weeks ago
New York, New York, United States Metropolitan Jewish Health System Full timeOverviewLocated in the heart of Washington Heights in Northern Manhattan, our 705-bed rehabilitation and nursing care facility is dedicated to providing quality care through diverse programs and services designed to support health and independence for individuals needing short-stay or long-term inpatient care.Why Work with Us?When you join our team, you'll...
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Medicaid Application Specialist
2 weeks ago
New York, New York, United States Lamson & Cutner P.C Defunct Full timeAbout Lamson & Cutner, P.C.Lamson & Cutner, P.C. is a reputable Elder Law and Estate Planning firm with a strong presence in New York City and Westchester County.Job DescriptionWe are seeking a highly skilled Medicaid Paralegal to join our team in New York, NY. The successful candidate will be responsible for preparing and submitting Medicaid applications,...