Faxes and calls MCO/MLTC clients and/or their physicians to request completed M11Q forms 45 days prior to their expiration, ensures receipt of all M11Q forms prior to their expiration for all MCO ...
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Faxes and calls MCO/MLTC clients and/or their physicians to request completed M11Q forms 45 days prior to their expiration, ensures receipt of all M11Q forms prior to their expiration for all MCO ...
Quick apply
Faxes and calls MCO/MLTC clients and/or their physicians to request completed M11Q forms 45 days prior to their expiration, ensures receipt of all M11Q forms prior to their expiration for all MCO ...
Brooklyn, NY · On-site
... for MLTC and Pediatric service lines, ensuring sufficient resources and sustainable growth. • Represent the Home Care Department in leadership meetings, presenting data-driven updates and ...
Brooklyn, NY · On-site
... for MLTC and Pediatric service lines, ensuring sufficient resources and sustainable growth. • Represent the Home Care Department in leadership meetings, presenting data-driven updates and ...
Brooklyn, NY · On-site
$72K - $115K/yr
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Brooklyn, NY · On-site
$72K - $115K/yr
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Brooklyn, NY · On-site
$72K - $115K/yr
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Brooklyn, NY · On-site
$72K - $115K/yr
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Brooklyn, NY · On-site
$19.25 - $25/hr
Working with patients, referral sources, caregivers & MLTC to coordinate home placement, problem solving, and identification of needed home health services. * Schedule and coordinate home care ...
Brooklyn, NY · On-site
$19.25 - $25/hr
Working with patients, referral sources, caregivers & MLTC to coordinate home placement, problem solving, and identification of needed home health services. * Schedule and coordinate home care ...
Manhattan, NY · On-site
$72K - $115K/yr
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Manhattan, NY · On-site
$72K - $115K/yr
Knowledge of Department of Health and MLTC standards for home care * Knowledge of Uniform Assessment New York (UAS-NY) * Knowledge of Medicare and Medicaid regulations * Ability to create, evaluate ...
Manhattan, NY · On-site
$90K - $105K/yr
RN Care Manager, MLTC Compensation Salary Range: $90,000 - $105,000 per year Bonus / Commission (if applicable): This role is eligible for a $15,000 sign-on bonus. Location: Remote (Hybrid training ...
Manhattan, NY · On-site
$90K - $105K/yr
RN Care Manager, MLTC Compensation Salary Range: $90,000 - $105,000 per year Bonus / Commission (if applicable): This role is eligible for a $15,000 sign-on bonus. Location: Remote (Hybrid training ...
Brooklyn, NY · On-site
$19 - $24.75/hr
Working with patients, referral sources, caregivers & MLTC to coordinate home placement, problem solving, and identification of needed home health services. * Schedule and coordinate home care ...
Brooklyn, NY · On-site
$19 - $24.75/hr
Working with patients, referral sources, caregivers & MLTC to coordinate home placement, problem solving, and identification of needed home health services. * Schedule and coordinate home care ...
Utica, NY · On-site
$37K/yr
Provide information, referrals, and assistance navigating the MLTC enrollment and appeal processes. * Contact organizations and agencies to mediate and resolve problems. * Promptly respond to calls ...
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Utica, NY · On-site
$37K/yr
Provide information, referrals, and assistance navigating the MLTC enrollment and appeal processes. * Contact organizations and agencies to mediate and resolve problems. * Promptly respond to calls ...
Note: - MLTC, UAS assessment experience. Description: Responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring of an appropriate ...
Note: - MLTC, UAS assessment experience. Description: Responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring of an appropriate ...
Rochester, NY · On-site
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
Rochester, NY · On-site
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
Brooklyn, NY · On-site
$19 - $25.75/hr
Understanding the requirements for CHHA's and MLTC's * Understanding of communicating effectively with employee, patients and their families, medical and community affiliates in order to develop ...
Brooklyn, NY · On-site
$19 - $25.75/hr
Understanding the requirements for CHHA's and MLTC's * Understanding of communicating effectively with employee, patients and their families, medical and community affiliates in order to develop ...
Brooklyn, NY · On-site
$72K - $115K/yr
... MLTC standards for home care Knowledge of Uniform Assessment New York (UAS-NY) Knowledge of Medicare and Medicaid regulations Ability to create, evaluate and present department, role-focused ...
Brooklyn, NY · On-site
$72K - $115K/yr
... MLTC standards for home care Knowledge of Uniform Assessment New York (UAS-NY) Knowledge of Medicare and Medicaid regulations Ability to create, evaluate and present department, role-focused ...
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
Syracuse, NY · On-site
$108K - $135K/yr
Oversees day-to-day compliance operations and regulatory oversight activities for MLTC, MAPD/D-SNP, CHHA, LHCSA, Article 28 Clinic programs and other lines of business as applicable. * Directs ...
Syracuse, NY · On-site
$108K - $135K/yr
Oversees day-to-day compliance operations and regulatory oversight activities for MLTC, MAPD/D-SNP, CHHA, LHCSA, Article 28 Clinic programs and other lines of business as applicable. * Directs ...
Rochester, NY · On-site
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
Quick apply
Rochester, NY · On-site
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
Utica, NY · On-site
$20.80/hr
Provide information, referrals, and assistance navigating the MLTC enrollment and appeal processes. * Contact organizations and agencies to mediate and resolve problems. * Promptly respond to calls ...
Utica, NY · On-site
$20.80/hr
Provide information, referrals, and assistance navigating the MLTC enrollment and appeal processes. * Contact organizations and agencies to mediate and resolve problems. * Promptly respond to calls ...
Rochester, NY · On-site
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
Rochester, NY · On-site
$75K - $83K/yr
Communicate with service coordinators, schedulers, MLTC care managers, physicians' offices, and family members to ensure seamless care delivery. * Report significant changes in condition promptly to ...
$20 - $25/hr
Care Coordinator I Syracuse, NY Office I Rome, NY Office I Rochester, NY Office Supporting Seamless, Patient-Centered Care Behind the Scenes Onsite Role | Monday-Friday, 8:00 AM-4:30 PM Be the ...
$20 - $25/hr
Care Coordinator I Syracuse, NY Office I Rome, NY Office I Rochester, NY Office Supporting Seamless, Patient-Centered Care Behind the Scenes Onsite Role | Monday-Friday, 8:00 AM-4:30 PM Be the ...
$27K - $36K
13% of jobs
$36K - $44.9K
7% of jobs
$48.9K is the 25th percentile. Wages below this are outliers.
$44.9K - $53.9K
11% of jobs
$53.9K - $62.8K
9% of jobs
The median wage is $67.8K / yr.
$62.8K - $71.8K
19% of jobs
$71.8K - $80.7K
12% of jobs
$84.8K is the 75th percentile. Wages above this are outliers.
$80.7K - $89.7K
11% of jobs
$89.7K - $98.6K
7% of jobs
$98.6K - $107.6K
3% of jobs
$107.6K - $116.5K
4% of jobs
$116.5K - $125.5K
4% of jobs
$27K
$72K
$125.5K
An MLTC (Managed Long-Term Care) job typically involves coordinating healthcare services for individuals with chronic illnesses or disabilities who need long-term care. Professionals in this field, such as care managers or coordinators, work for insurance plans or healthcare organizations to assess patient needs, develop care plans, and ensure access to necessary medical and support services. Their goal is to improve patients' quality of life while managing costs and compliance with state and federal regulations.
To thrive as an MLTC (Managed Long Term Care) Coordinator, you need expertise in care coordination, healthcare management, and knowledge of long-term care regulations, typically supported by a background in nursing, social work, or healthcare administration. Familiarity with electronic case management systems and a strong understanding of Medicaid and MLTC program guidelines are essential. Excellent communication, problem-solving skills, and cultural competence help professionals effectively advocate for and support diverse patient populations. These skills ensure seamless care delivery, regulatory compliance, and improved quality of life for clients in managed long-term care programs.
MLTC Coordinators are responsible for overseeing the care plans of individuals enrolled in managed long-term care programs, ensuring all services are aligned with clients' needs and regulatory requirements. On a typical day, you will conduct assessments, coordinate with healthcare providers and family members, monitor service delivery, and update care plans as needed. The role also involves maintaining thorough documentation and navigating Medicaid regulations to ensure coverage and compliance. Collaborating with a multidisciplinary team, MLTC Coordinators work continually to advocate for the best possible outcomes for their clients.

$50K/yr
Temporary
Medical, Retirement, PTO
Posted 22 days ago
Pay: $50,117.00 per year
Job description:
New York Foundation for Senior Citizens
Home Attendant Program
PERSONNEL SPECIALIST
Reports directly to Personnel Specialist Supervisor.
Supervises and insures Home Attendant accountability, in cooperation with the nurses.
Insures that all Home Attendants are oriented to their clients’ respective needs and plans of care. Calls the client to verify the arrival of the Home Attendant and completes and places a progress note in the computerized Client Profile.
Case management and follows up on Home Attendant and client need.
Creates a confidential client file, at the time of acceptance of service, that includes the client’s social history, family history, client orientation forms, medication forms, advance directives, nursing assessment and plan of care form, initial telephone contact form, KARDEX that includes the authorized number of service hours as well as emergency family and physician contact telephone numbers, etc.
Prints No-Show Reports and follows-up on Home Attendants who appear on those reports each and every weekday morning and afternoon and, for Saturdays and Sunday, each and every Monday morning.
Clears Schedule Verification Report on a daily basis and obtains all required timesheets on a timely basis to insure timely filing of bills.
Logs time sheets, processes timesheet for payroll and assists in resolving payroll problems.
Insures continuous client coverage.
Records, includes and maintains all required documentation in client and Home Attendant files in accordance with all contract requirements.
Obtains M11Q forms for all MCO/MLTC clients from their physicians prior to their expiration, either every six months, or every 12 months if they include “personal care services for one year”, as well as whenever there is a change in clients’ status.
Faxes and calls MCO/MLTC clients and/or their physicians to request completed M11Q forms 45 days prior to their expiration, ensures receipt of all M11Q forms prior to their expiration for all MCO/MLTC clients per caseload prior to the expiration of their existing M11Qs.
Continuously follows up with MCO/MLTC clients and/or their physicians to reinforce the need to submit completed M11Q forms prior to their expiration of clients’ existing M11Q forms.
Obtains up-to-date M11Q forms for all HRA clients per caseload from the Personnel Specialist Supervisor.
Places all M11Q forms received per caseload, immediately, into MCO/MLTC and HRA clients’ respective files.
Insures that all home care workers comply with the requirement to receive their annual medical examinations, drug tests and the results are cleared by the Director of Patient Services before the expiration of their respective prior year examinations and drug abuse tests.
Insures that all no-shows for Mobile Health medical examinations and drug abuse tests are re-scheduled, in cooperation with the Director of Patient Services, and that they are completed before the expiration of their respective prior annual medical examinations and drug abuse tests.
Suspends from employment all home care workers who are unwilling to comply with their annual medical examination and drug abuse test requirements on a timely basis, until they are performed and the Director of Patient Services has cleared the results before they are returned to work.
Liaison with HRA, MCOs, MLTCs to notify them of any changes in client needs.
Participates in Client Advisory Meeting.
Notifies Director of Patient Services and Personnel Specialist Supervisor of client hospitalization and informs Home Attendant of disposition of client after nursing visit.
Insures that birth dates are correctly inputted into computer systems.
Inputs all terminations and all client acceptances and terminations into computer system.
Submits start dates or deferrals for initials/changes.
Monitors random comparison of original signatures of clients, including those who sign their names with an “x”, against signatures on timesheets.
Inputs all changes in service hours upon receipt of authorizations into HCPlus, provides the correct number of hours for the client, insures that those hours are billed, as appropriate, to HRA, MCO or MLTC and immediately, thereafter, files in clients’ records.
Continuously updates and monitors case records and Sandsport computer forms to insure that all cases are in contract compliance. If they are not, reports all non-compliances on forms to the Personnel Specialist Supervisor, with copies to the ADFO, Program Director and President.
Accompany nurses on revisits, with the approval of the Foundation’s President and the Program Director, in the following situations: where there are language barriers, in emergency situations, where neighborhoods may present a physical danger.
Notifies Director of Patient Services and Personnel Specialist Supervisor of client hospitalizations. Informs Home Attendant of disposition after nursing visit.
Emergency replacements of Home Attendants. Informs clients of such Home Attendant replacements.
Follows-up with Home Attendants who do not attend in-service training and medical appointments to insure their compliance.
Receives, logs and documents all client complaints.
Reports all Level I, II and III complaints to Program Director, Personnel Specialist Supervisor and Director of Patient Services. Replaces Home Attendant during investigation of Level I and II complaints. Assists in investigation of Level I, II and III complaints.
Investigates, resolves and documents outcome of all Level III complaints within 10 days of receipt.
Participates in conducting spontaneous phone calls to clients of 5% of the total respective HRA, MCO, MLTC and DFTA caseloads each week to detect abuse and monitor attendance of Home Attendants.
Rotates on call with other administrative staff, both weekly and weekends.
Job Type: Full-time
Benefits:
Work Location: In person
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