• Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    …care delivery systems comprised of Managed Care Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and ... areas: Managed Care Client Services (MCCS), Recipient Restriction Program (RRP), and Comprehensive Medicaid Case Management (CMCM). These areas work with the New… more
    City of New York (05/14/25)
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  • Entitlement Advocate

    Healthfirst (NY)
    …code removals or demographic information changes **Growth (Educate and Assess for Medicaid Eligibility ):** Contact prospects or primary caregivers to arrange an ... interview to assess Medicaid eligibility . Complete Medicaid applications...accordance with departmental policy. Recommend process improvement and advise management of any proposed recommendations that can make a… more
    Healthfirst (06/11/25)
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  • Section Manager

    City of New York (New York, NY)
    …and sign off on invoices for eligibility determinations prepared by eligibility and supervisory staff on the Medicaid consumers' requests for insurance ... with staff to ensure that performance deficiencies are corrected; ensure that Medicaid reimbursement eligibility determination is consistent with applicable laws… more
    City of New York (05/14/25)
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  • Nutrition Education Navigator

    Cornell Cooperative Extension (Watertown, NY)
    …visits, virtual visits, and community educational activities. These activities will screen Medicaid members for eligibility and referral needs. The educator will ... for Cornell Cooperative Extension Association of Jefferson County for the 1115 Medicaid Waiver program, and as such will provide screening, navigate referrals, and… more
    Cornell Cooperative Extension (07/23/25)
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  • Revenue Cycle Management Team Leader…

    Helio Health Inc. (Syracuse, NY)
    …health issues. To support the mission of Helio Health, Inc. theRevenue Cycle Management Team Leaderwill oversee and support a team that receives patients, collects ... assignments. Provides supervision in conjunction with the Director of Revenue Cycle Management and the Program Service Directors. + Ensures assessment of patient… more
    Helio Health Inc. (07/01/25)
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  • Utilization Management Intake…

    Monroe Plan for Medical Care (Rochester, NY)
    Utilization Management Intake Representative II Summary Title:Utilization Management Intake Representative II ID:UM 42 (ROC) Location:Rochester, Buffalo, ... Syracuse, or Utica Job Type:Full-time Date Posted:07/24/2025 Openings:1 Department:Utilization Management Description Looking for meaningful work with an Organization… more
    Monroe Plan for Medical Care (07/25/25)
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  • Casa Director

    City of New York (New York, NY)
    …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...strategies, which result in optimum performance and achievement of management goals. - Represent the Agency at various public… more
    City of New York (06/18/25)
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  • Senior Social Care Navigator (Grant-Funded)

    CP Unlimited (Fishkill, NY)
    …Job Brief The Senior Social Care Navigator will be responsible for engaging Medicaid beneficiaries to assess their HRSNs, confirming eligibility for SCN ... platform. The Senior Social Care Navigator will be responsible for engaging Medicaid beneficiaries to assess their HRSNs, confirming eligibility for SCN… more
    CP Unlimited (06/13/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    …PERMANENT IN THE PRINICIPAL ADMINISTRATIVE ASSOCIATE TITLE. The Office of Revenue Management and Development (ORMD) is a major revenue-producing office within HRA; ... City-tax levy savings for the City. The Bureau of Case Integrity & Eligibility Verification's mission is to identify system enhancements to improve claiming and to… more
    City of New York (07/12/25)
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  • Executive Director Of Fields Operations

    City of New York (New York, NY)
    …to process applications including screening, intake, and assessment and monitoring of Medicaid eligibility and all related community alternative health care ... the day-to-day direction of the personnel engaged in processing applications, monitoring Medicaid eligibility and conducting eligibility assessments for… more
    City of New York (05/14/25)
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