Medicaid Care Manager Team Lead
4 weeks ago
MetroPlusHealth 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 management and quality assurance.
Key Responsibilities- Provide clinical guidance and supervision to assigned Care Managers and clinical support staff
- Supervise day-to-day activities to ensure case management services are provided in accordance with clinical guidelines and MetroPlusHealth organizational standards
- Ensure care management activities are conducted in a safe, efficient, and effective manner to promote continuity and quality of care
- Review, develop, and modify day-to-day workflows to ensure timely follow-up
- Evaluate and document staff performance, coach staff to improve quality and quantity of skills
- Utilize data to track, trend, and report productivity and outcome measures
- Bachelor's Degree required, Master's preferred
- Minimum of 5 years of Care Management experience in a healthcare and/or Managed Care setting
- Minimum of 2 years managerial/leadership experience in a Managed Care and/or healthcare setting
- Proficiency with computers navigating in multiple systems and web-based applications
- Ability to proficiently read and interpret medical records, claims data, pharmacy and lab reports, and prescriptions
- Registered Nurse with a current New York State License
- Professional Competencies: Integrity and Trust, Customer Focus, Functional/Technical Skills, Confident, Autonomous, Solution Driven, Detail Oriented, Nonjudgmental, Diplomatic, Resourceful, Intuitive, Dedicated, Resilient, and Proactive
-
Medicaid Care Manager Team Lead Position
4 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 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...
-
Medicaid Care Manager Team Lead
1 month 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...
-
Medicaid Care Manager Team Lead
4 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...
-
Medicaid Program Advisor
4 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...
-
Medicaid Eligibility Specialist
4 weeks 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...
-
Medicaid Eligibility Specialist
4 weeks ago
New York, New York, United States MJHS Full timeJob Summary: We are seeking a skilled Medicaid Eligibility Specialist to join our team at MJHS. As a Medicaid Coordinator, you will play a critical role in establishing financial status and Medicaid eligibility for our nursing home residents. About the Role: In this position, you will be responsible for maintaining Medicaid eligibility throughout the...
-
Medicaid Eligibility Specialist
4 weeks ago
New York, New York, United States City of New York Full timeJob Summary:The City of New York is seeking a highly skilled Eligibility Specialist II to join its Medical Assistance Program (MAP) team. As a Medicaid Eligibility Specialist, you will play a critical role in determining the eligibility of applicants and recipients for Medicaid coverage.Key Responsibilities:Conduct comprehensive reviews of applications,...
-
Medicaid Eligibility Specialist
4 weeks ago
New York, New York, United States City of New York Full timeJob SummaryThe City of New York is seeking a Medicaid Eligibility Specialist to join our team. As a Medicaid Eligibility Specialist, you will be responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid.You will conduct a comprehensive review of applications, including financial and legal...
-
Medicaid and Tuition Billing Specialist
1 month ago
New York, New York, United States Birch Family Services Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Medicaid and Tuition Billing Specialist to join our team at Birch Family Services. The successful candidate will be responsible for assisting with the processing of claims for participants in our Community Service programs and Education Program, ensuring accurate capture of client and student...
-
Client Care Team Lead
4 weeks ago
New Rochelle, New York, United States Choice Of New Rochelle In Full timeJob DescriptionPurpose of Role:As a key member of the Choice Of New Rochelle In team, the Client Care Supervisor will oversee a team of client care coordinators, ensuring the delivery of high-quality case management services to individuals with mental health and/or chronic health conditions.Key Responsibilities:Supervise, train, and develop client care...
-
Behavioral Health Operations Manager
1 month ago
New York, New York, United States Amida Care Full timeJob SummaryAmida Care, a leading Medicaid HIV Special Needs Plan in NY, seeks a highly motivated and experienced leader to join our team as the Manager of Behavioral Health Operations.This role supports the Integrated Care and Behavioral Health area of health services through oversight and organization of administrative efforts, including vendor relations,...
-
New York, New York, United States Village Care Full timeJob DescriptionEnhance Community Health OutcomesVillageCare is seeking a highly skilled RN - Manager of Community Support and Population Health to join our team. As a key member of our healthcare team, you will play a pivotal role in shaping healthcare for communities in need.This exciting position offers the unique opportunity to navigate and ensure...
-
Travel LPN Position with Care Team Solutions
4 weeks ago
New York, New York, United States Care Team Solutions Full timeJob Title: Travel LPN / LVNCompany: Care Team SolutionsJob Type: TravelShift: 8 hoursEmployment Type: ContractGross Weekly Pay: $1442Care Team Solutions is seeking a dedicated and compassionate LPN / LVN to join our travel team. As a travel nurse with our company, you will have the opportunity to work in various locations and gain valuable experience in...
-
Physician Advisor
4 weeks ago
New York, New York, United States Centers for Medicare and Medicaid Services Full timeJob DescriptionCenters for Medicare and Medicaid Services is seeking a highly skilled Physician Advisor to join our team. As a key member of our organization, you will play a critical role in providing medical expertise and guidance to our staff.Key Responsibilities:Provide medical and clinical expertise in the review of traditional Medicare, Medicare...
-
Early Childhood Education Team Lead
4 weeks ago
New York, New York, United States Learning Care Group Full timeJob Summary:We are seeking a highly motivated and experienced Early Childhood Education Team Lead to join our team at Learning Care Group. As a Team Lead, you will be responsible for promoting the social, physical, and intellectual growth of the children in your care, while also taking the lead on classroom management and curriculum implementation.Key...
-
Senior Manager of Behavioral Health Operations
4 weeks ago
New York, New York, United States Jobot Full timeWe are seeking an experienced Operations leader to join our team at a top NYC Health Plan. As a Manager of Behavioral Health Operations, you will be responsible for leading our Behavioral Health Department and developing effective strategies to improve our model of care.Key Responsibilities:Lead the Behavioral Health Department and develop strategies to...
-
Care Management Team Leader
4 weeks ago
New York, New York, United States Apicha Community Health Center Full timeAt Apicha Community Health Center, we are seeking a highly skilled and experienced Care Management Team Leader to join our team. As a key member of our care management team, you will be responsible for providing supervision to care managers and navigators, ensuring adherence to NYS Health Homes and lead Health Homes requirements. You will also provide crisis...
-
Care Management Coordinator
4 weeks ago
New York, New York, United States Metropolitan Jewish Health System Full timeAbout the Role:The Metropolitan Jewish Health System is seeking a skilled Care Management Coordinator to join our team. As a Care Management Coordinator, you will play a critical role in ensuring high-quality, cost-effective care and services for our Elderplan members.Key Responsibilities:Support professional Care Management and/or Clinical Service...
-
Risk Management Team Lead
4 weeks ago
New York, New York, United States American Express Full timeLead the Way in Risk ManagementAt American Express, we're committed to providing the world's best customer experience every day. As a Risk Management Team Lead, you'll play a critical role in shaping strategies and policies for our products and services. You'll work closely with colleagues across Risk Management, Marketing, Finance, Servicing, Legal,...
-
Care Management Coordinator
4 weeks ago
New York, New York, United States Metropolitan Jewish Health System Full timeAbout the Role:The Metropolitan Jewish Health System is seeking a skilled Care Management Coordinator to join our team. As a key member of our healthcare team, you will play a vital role in ensuring high-quality, cost-effective care and services for our Elderplan members.Responsibilities:Support professional Care Management and/or Clinical Service activities...