• Case Manager , Medicaid…

    MVP Health Care (Tarrytown, NY)
    …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to ... Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or... Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
    MVP Health Care (10/26/25)
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  • Legal Nurse: Investigate Medicaid…

    New York State Civil Service (New York, NY)
    …detectives, data analysts, and legal support analysts to conduct complex, long -term healthcare fraud investigations. The Medicaid program provides health ... No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6400) Occupational Category Legal Salary Grade NS Bargaining… more
    New York State Civil Service (10/15/25)
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  • Case Manager , RN (Medicare)

    Excellus BlueCross BlueShield (Rochester, NY)
    …for you, we encourage you to apply! Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department ... of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Telephonic Nurse Case Manager

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, ... holistic approach for case management throughout the continuum of care. The case manager will offer guidance, support, and coordination of the beneficiary's… more
    Humana (10/23/25)
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  • Housing Substance Use Case Manager

    GMHC (New York, NY)
    Housing Substance Use Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time ... Description TheHousing Substance Use (SU) Case Manager (CASAC)provides client-centered substance use counseling and case management to individuals enrolled… more
    GMHC (10/22/25)
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  • Case Manager

    Independent Health (Buffalo, NY)
    …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Case Manager (CM) will be responsible for helping members achieve a ... using available resources to promote quality cost-effective outcomes. The Case Manager will apply the guiding principles...+ Assess the patient's broad spectrum of immediate and long -term needs through evaluation of the patient's social and… more
    Independent Health (10/07/25)
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  • Case Manager - Adult Residential…

    Equinox, Inc (Albany, NY)
    Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... mental illness and an addiction that need 24/7 support. Position Summary: The Residential Case Manager is responsible for providing service plan development and … more
    Equinox, Inc (08/01/25)
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  • Financial Case Manager

    Rochester Regional Health (Rochester, NY)
    …ManagerDepartment: Health Information Management Location: Alex Park SUMMARY: The Financial Case Manager is responsible for reviewing uninsured and under-insured ... per policy for hospital and clinical accounts. * Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements,… more
    Rochester Regional Health (09/23/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Albany, NY)
    …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
    Humana (10/23/25)
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  • Behavioral Health - Care Manager II

    Elevance Health (Latham, NY)
    …an accommodation is granted as required by law. The **Behavioral Health Care Manager II** is responsible for performing case management telephonically and/or by ... Job Description **Behavioral Health Care Manager II - Autism** **Location:** Virtual: This role...providers. + Serves as a resource to other BH Case Mgrs. + Participates in cross-functional teams projects and… more
    Elevance Health (10/25/25)
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