• LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Albany, NY)
    …with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other ... groups. + Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality Assurance… more
    Molina Healthcare (11/13/25)
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  • Cpru Supervisor

    City of New York (New York, NY)
    Job Description YOU MUST BE PERMANENT IN THE BENEFITS OPPORTUNITY SPECIALIST (BOS) TITLE FOR AT LEAST ONE YEAR OR PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY ... SPECIALIST (ABOS) TITLE. THIS IS A PROVISIONAL APPOINTMENT, WHEN...Agency decisions affecting receipt of Cash Assistance, SNAP and Medicaid benefits, and the preparation of documentation for presentation… more
    City of New York (11/19/25)
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  • Case Management Team Leader

    City of New York (New York, NY)
    …APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST CIVIL SERVICE TITLE. Family Independence Administration provides temporary help ... support enforcement, etc. Under the direction of the Associate Benefits Opportunity Specialist III, the Associate Benefits Opportunity Specialist II (ABOS II)… more
    City of New York (10/30/25)
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  • Recreation Therapist (NY Helps), Rockland…

    New York State Civil Service (Orangeburg, NY)
    …chemical dependency; or* Current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...for your services to be billed through Medicare and Medicaid . If you are appointed and are required to… more
    New York State Civil Service (11/26/25)
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  • Recreation Therapist, (NY Helps), Hutchings…

    New York State Civil Service (Syracuse, NY)
    …chemical dependency; or* Current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...for your services to be billed through Medicare and Medicaid . If you are appointed and are required to… more
    New York State Civil Service (11/24/25)
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  • Licensed Master Social Worker, (NY Helps),…

    New York State Civil Service (Dix Hills, NY)
    …State NY Zip Code 11746 Duties Description The Quality & Risk Management Specialist will play a critical role in Quality Management and Risk Management functions ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...for your services to be billed through Medicare and Medicaid . If you are appointed and lose the ability… more
    New York State Civil Service (11/21/25)
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  • Bilingual Call Center Rep (Relationship…

    Healthfirst (NY)
    …complete outbound calls according to approved scripts.** + **Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.** + **Searches in Marx (CMS) ... all field and tele video conference appointments for HF CompleteCare Specialist and Intake Nurses in Salesforce.** + **Schedules Entitlement Advocates appointments… more
    Healthfirst (11/21/25)
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  • Senior Clinical Pharmacist - Pipeline

    Humana (Albany, NY)
    …well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging therapeutics, including ... residency or similar pharmacy practice experience + Board Certified Pharmacotherapy Specialist (BCPS) + MBA, pharmacoeconomics or health outcomes training + An… more
    Humana (11/20/25)
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  • Social Care Navigator

    Access: Supports For Living (Mount Vernon, NY)
    …OVERVIEW OF PRIMARY RESPONSIBILITES: The Community Health Worker (CHW) - Social Care Network Specialist plays a key role in advancing the New York State 1115 ... Medicaid waiver's focus on addressing health-related social needs (HRSN)....evaluate client needs and strengths. - Prioritize outreach to Medicaid members with complex needs or at high risk… more
    Access: Supports For Living (11/18/25)
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  • Case Management Supervisor

    City of New York (New York, NY)
    Job Description YOU MUST BE PERMANENT IN THE BENEFITS OPPORTUNITY SPECIALIST (BOS) TITLE FOR AT LEAST ONE YEAR OR PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY ... SPECIALIST (ABOS) TITLE. THIS IS A PROVISIONAL APPOINTMENT, WHEN...determination for Cash Assistance, Supplemental Nutrition Assistance Program (SNAP), Medicaid , Emergency Requests (One Shot Deal), Recertifications, interviews (in-person… more
    City of New York (11/15/25)
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