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Career Opportunities.

We are always looking for people who can help us carry out our mission – helping people with dignity and respect. To learn more about becoming part of the Extended MLTC team, fax your resume with cover letter to the human resources department at (212) 563-0775 or email HR Dept

  • MEMBER CARE ASSOCIATE (Bi-lingual English/Chinese) - MLTC

    Position Title:

    Member Care Associate

    Department:

    Care Management

    Reports To:

    Clinical Manager

    REQUIREMENTS & QUALIFICATIONS:
    1. High school diploma or GED required
    2. Basic computer skills (Microsoft Word, Excel, etc) required
    3. Basic knowledge of CPT codes medical terminology preferred
    4. Previous experience in Managed Care industry preferred
    5. Good communication and organizational skills.
    KEY RESPONSIBILITIES:
    1. The RN Care Manager develops and maintains strong, positive relationships with healthcare providers (acute, ambulatory, medical and behavioral) to ensure high-risk, high-cost members have open access and appropriate care.
    2. Care Manager ensures open flow of communication between providers, community-based teams and telephonic care coordination efforts
    3. Plans, implements, manages and evaluates the provision of services to ensure that all member needs are met and quality care is provided in accordance with Federal, State and Agency guidelines.
    4. Establishes and updates the care plan with written input from the members/caregiver(s), physician and other multidisciplinary health team members.
    5. Highly collaborative with existing care coordination and community health programs/teams to ensure that APS interventions are aligned and consistent with those efforts.
    6. Contacts and visits community providers (hospitals, ambulatory providers of medical and behavioral healthcare) who serve high-risk, high-cost members
    7. Delivers to provider(s) demographic, medication history, clinical alerts and evidence-based recommendations for high-risk, high-cost members.
    8. Provides consultation to providers on strategies to close gaps in care and reduce fragmentation of care, including leveraging care management staff to impact appointments, medication and treatment adherence.
    9. Maintains a case load (typically 60 or less members) of telephonically care managed high risk members.
    10. Completes all required documentation according to agency policy and in a timely manner which include; interdisciplinary enrollment, 485, physician orders, complaints / grievances and encounter notes.
    11. Manages the activity of the multidisciplinary team providing care to members as well as ensure that all visits scheduled and provided are authorized and covered by a physician order.
    12. Reviews reports, evaluates ongoing members care needs and communicates those needs to the physician.
    13. Maintains proficiency in clinical, administrative skills and maintains member’s electronic medical record.
    14. Demonstrates sound judgment and independent problem solving skills in order to initiate appropriate intervention with regard to member’s psychosocial and/or physical impairment.
    15. Facilitates the care of the member in the home setting by utilizing appropriate community resources, counseling and teaching member and member’s family and advocating on behalf of the member.
    16. Communicates case load and member care issues to the Clinical Manager.
    17. Care Manager updates and maintains member’s care plan, monitors any changes in member’s condition
    18. Develops, implements, and carries out a discharge plan in conjunction with the Primary field, member/caregiver and members of the health care team. Interprets agency policy to member and member’s families.
    19. Ensures that all visits made have prior authorization if required by the member’s managed care insurance company. Works collaboratively with managed care insurance company.
    20. Monitors the quality of therapeutic service through written and verbal communications with all disciplines. Participates in performance improvement activities, team meetings and orientation as requested.
    21. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    22. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.
    23. Performs other nursing activities as directed.

    Apply Now

  • CARE MANAGER, RN (Bi-lingual English/Chinese) - MLTC

    Position Title:

    Care Manager, RN

    Department:

    MLTC

    Reports To:

    Clinical Manager

    Job Summary:

    RN Care Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate long-term care services for Extended MLTC members through assessment and member-centered care planning, direct provider coordination and collaboration to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes.

    Qualifications and Experience:
    1. Current NYS RN License required.
    2. Bachelor’s degree in Nursing is preferred
    3. Minimum of 1 year recent nursing experience required
    4. MLTC Home Care experience preferred.
    5. Strong verbal/written communication skills
    6. Basic knowledge of Excel and Microsoft Word.
    Essential Duties and Responsibilities:
    1. The RN Care Manager plans, implements, manages and evaluates the provision of services to ensure that all members’ needs are met and quality care is provided in accordance with Federal, State and Agency guidelines.
    2. Maintains a case load of 120-150 members.
    3. Assigns administrative tasks to Care Management Associates, provides instructions and oversees completion of assigned tasks.
    4. Using the UAS assessments and interviews done by the Enrollment Nurses, identifies the risk factors, strengths and challenges, service needs of the member to keep him/her in their community setting.
    5. Establishes and updates the care plan with input from the member, caregiver(s), physician and other multidisciplinary health team members.
    6. Assist members with coordination of services both in-network and out of network as appropriate, including facilitating discharge from acute setting and alternate settings.
    7. Educates members and caregivers about disease process and recommends interventions to improve outcomes.
    8. Ensures open flow of communication between providers, community-based teams and telephonic care coordination efforts.
    9. Collaborates with other care coordination and community health programs/teams to ensure that all care management interventions are aligned and consistent.
    10. Creates and maintains member's electronic medical record. Completes all required documentation in a timely manner and according to agency policy, including care management and coordination notes, Plans of Care, interdisciplinary communications, incidents, complaints and grievances.
    11. Manages the activities of the multidisciplinary team providing care to members as well as ensures that all services scheduled and provided are authorized and ordered by a physician (if applicable)
    12. Reviews reports, evaluates ongoing members care needs and communicates those needs to the physician.
    13. Maintains proficiency in clinical and administrative skills
    14. Demonstrates sound judgment and independent problem solving skills in order to initiate appropriate intervention with regard to member's psychosocial and/or physical impairment.
    15. Facilitates the care of the member in the home setting by utilizing appropriate community resources, counseling and teaching member and member's family and advocating on behalf of the member.
    16. Communicates member care issues to the Clinical Manager.
    17. Develops, implements, and carries out a discharge plan in conjunction with the member, caregiver and members of the health care team.
    18. Interprets agency policy to member and member's family.
    19. Promptly addresses complaints that can be resolved in one day
    20. Assists Member Services, and QA/UM departments by providing records and materials needed for timely resolution of grievances.
    21. Participates in performance improvement activities, team meeting and orientation as requested.
    22. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    23. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.
    24. Performs other duties as needed or assigned, travels to other Extended offices as needed.

    Apply Now

  • FFS ENROLLMENT SPECIALIST - RN (Bi-lingual English/Spanish, Chinese, Korean, Vietnamese) - MLTC

    Position Title:

    FFS Enrollment Specialist - RN

    Department:

    MLTCt

    Reports To:

    Executive Director - MLTC

    Job Summary:

    Responsible for enrollment of new members by collaborating with caregivers and PCP.

    REQUIREMENTS & QUALIFICATIONS:
    1. Current New York State License as Registered Nurse
    2. One (1) year general Medical – Surgical Nursing experience required
    3. Able to meet health standards of employment
    4. Must successfully complete orientation
    5. Prior home care experience preferred
    KEY RESPONSIBILITIES:
    1. Provides assessment of newly referred patients, assess health needs and eligibility for home care services.
    2. Develops and implement treatment plans in conjunction with the Home Care Coordinator, Physician, and patient/caregiver.
    3. Conferences with Care Manager and Enrollment Manager to assure appropriate services are in place.
    4. Documents accurately and completely in patients clinical record.
    5. Submits written documentation on timely basis in accordance with Agency policy.
    6. Makes referral for other services as needed.
    7. Maintains updated professional knowledge and participates in patient education programs to ensure optimum quality of patient care.
    8. Perform other nursing activities as directed.
    9. Conducts comprehensive clinical, psycho-social, and financial risk assessments of potential members for enrollment to the MLTC program across multiple regions. Evaluates appropriateness of membership based on NYS assessment criteria.
    10. Develops initial plan of care for new members, which includes selecting and authorizing services, supplies, equipment, environmental modification, durable medical equipment and medications, etc. Collaborates with Nurse Care Manager on implementation of the plan of care.
    11. Identifies appropriate home health aide hours based on Personal Care Assessment/other appropriate tools and program guidelines; with member and family regarding level of service.
    12. Obtain complete and accurate information for each potential enrollee. Approves eligibility of potential enrollee based on government standards and program criteria such as Universal Assessment Tool II, medical coverage, age, etc. Reviews application for completion and accuracy.
    13. Stays abreast of current and potential changes to federal, state and local statutes and regulations and applicable quality assurance standards. Makes recommendations to of Enrollment Manager based on changes.
    14. Makes recommendations in regard to enrollment policies and procedures. Adheres to MLTC rules and regulations.
    15. Participates in special projects and performs other duties, as required

    Apply Now

  • RN RISK ADJUSTMENT CODER - MLTC

    Position Title:

    RN Risk Adjustment Coder

    Department:

    MLTC

    Reports To:

    EXECUTIVE DIRECTOR

    Job Summary:

    Responsible for performing audits of clinical records to ensure all assigned ICD-10 codes are appropriate, accurate, and supported by the written clinical documentation in accordance with all state and federal regulations and internal policies and procedures.

    Qualifications and Experience:
    1. Current NYS RN License required.
    2. Bachelor’s degree in Nursing is preferred
    3. Sound knowledge of ICD-10 coding guidelines and regulations and MLTC Risk Adjustment Methodology is required, current AAPC or similar certification preferred.
    4. Minimum of 2 years recent and related experience in clinical record documentation review, diagnosis coding, and/or auditing. MLTC experience preferred.
    5. Strong verbal/written communication skills.
    6. Experience with Microsoft Office products (Word, Excel, and Power Point).
    Essential Duties and Responsibilities:
    1. Reviews clinical records to ensure all assigned ICD-10 codes are accurate and supported by clinical documentation.
    2. Identifies and communicates documentation deficiencies to clinicians to improve documentation for accurate risk adjustment coding
    3. Provides position-specific training on ICD-10 coding and Risk Adjustment Methodology for staff members at the onset of the hiring process as well as on a continuous basis, creates training materials and presentations as needed.
    4. Effectively communicates the audit process and results to the appropriate departments and management.
    5. Assists senior level staff in providing recommendations for process improvement, so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy can be achieved.
    6. Maintains current knowledge of ICD-10 codes, CMS documentation requirements, and state and federal regulations; maintains current AAPC/AHIMA certification if applicable.
    7. Participates in performance improvement activities, UAS reviews, clinical audits, team meetings, and orientation as requested.
    8. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    9. Performs other duties as needed or assigned, travels to other Extended MLTC’s offices as needed.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    Apply Now

  • ENROLLMENT SPECIALIST - RN - MLTC

    Position Title:

    Enrollment Specialist - RN - Full Time – New York, NY

    Department:

    MLTC

    Reports To:

    Clinical Manager

    Job Summary:

    Reporting to the Clinical Manager of Extended MLTC, we currently seek a nurse professional to be responsible for the enrollment of new members in collaboration with caregivers and PCP.
    We offer competitive salaries and excellent benefits including training, support and professional growth.

    Qualifications and Experience:
    1. Current New York State License as Registered Nurse.
    2. One (1) year general Medical – Surgical Nursing experience required.
    3. Able to meet health standards of employment.
    4. Must successfully complete orientation.
    5. Prior home care experience preferred.
    Essential Duties and Responsibilities:
    1. Provides assessment of newly referred patients, assess health needs and eligibility for home care services.
    2. Develops and implement treatment plans in conjunction with the Home Care Coordinator, Physician, and patient/caregiver.
    3. Conferences with Care Manager and Enrollment Manager to assure appropriate services are in place.
    4. Documents accurately and completely in patients clinical record.
    5. Submits written documentation on timely basis in accordance with Agency policy.
    6. Makes referral for other services as needed.
    7. Maintains updated professional knowledge and participates in patient education programs to ensure optimum quality of patient care.
    8. Perform other nursing activities as directed.
    9. Conducts comprehensive clinical, psycho-social, and financial risk assessments of potential members for enrollment to the MLTC program across multiple regions.
    10. Evaluates appropriateness of membership based on NYS assessment criteria.
    11. Develops initial plan of care for new members, which includes selecting and authorizing services, supplies, equipment, environmental modification, durable medical equipment and medications, etc. Collaborates with Nurse Care Manager on implementation of the plan of care.
    12. Identifies appropriate home health aide hours based on Personal Care Assessment/other appropriate tools and program guidelines; with member and family regarding level of service.
    13. Obtain complete and accurate information for each potential enrollee. Approves eligibility of potential enrollee based on government standards and program criteria such as Universal Assessment Tool II, medical coverage, age, etc. Reviews application for completion and accuracy.
    14. Stays abreast of current and potential changes to federal, state and local statutes and regulations and applicable quality assurance standards. Makes recommendations to Enrollment Manager based on changes.
    15. Makes recommendations in regard to enrollment policies and procedures. Adheres to MLTC rules and regulations.
    16. Participates in special projects and performs other duties, as required.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    We offer competitive salaries and excellent benefits including training, support and professional growth.

    Extended Home Care Agency is an Equal Opportunity Employer.

    Apply Now

  • ENROLLMENT COORDINATOR - MLTC

    Position Title:

    Enrollment Coordinator - Full Time – Staten Island, NY

    Department:

    MLTC

    Reports To:

    Intake & Outreach SupervisoR

    Job Summary:

    Reporting to the Intake & Outreach Supervisor of Extended MLTC, we currently have an excellent position available for an individual to be responsible for ensuring all Enrollment criteria are met. Also collaborates with the Medicaid Specialist.
    We offer competitive salaries and excellent benefits including training, support and professional growth.

    Qualifications and Experience:
    1. High School Graduate.
    2. Minimum 2 years experience in Home Care.
    3. Good interpersonal skills.
    4. Proficient use of computers.
    5. Knowledgeable in Microsoft office; Words, Outlook, Excel, and PowerPoint.
    Essential Duties and Responsibilities:
    1. Receives all calls from interested parties for potential enrollees.
    2. Completes pre-enrollment screening form for all potential enrollees.
    3. Ensures all enrollment criteria is met.
    4. Collaborate with Medicaid Specialist regarding Medicaid related issues.
    5. Collaborate with Intake Nurse and clinical manager for all enrollment matters.
    6. Schedules assessments for eligible members with Enrollment Specialists.
    7. Performs other duties as needed.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    We offer competitive salaries and excellent benefits including training, support and professional growth.

    Apply Now