- Pacer Staffing (Atlanta, GA)
- …NCL state . Minimum of three years clinical experience . Experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty ... health field . Knowledge of government healthcare programs, TRICARE, and Medicare /Medicaid Key Responsibilities . Assess beneficiaries to identify medical, physical,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …development and monitoring of the plan of care to ensure effective patient case management. Acknowledges and honors the patient and significant others as vital ... perspective and utilizing hospice philosophy of care. Understands hospice Medicare /Medicaid/payor benefits and delivers care in accordance with benefit and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …development and monitoring of the plan of care to ensure effective patient case management. Acknowledges and honors the patient and significant others as vital ... perspective and utilizing hospice philosophy of care. Understands hospice Medicare /Medicaid/payor benefits and delivers care in accordance with benefit and… more
- Bridge Personal Care Services (Findlay, OH)
- …skin integrity, complex wounds, and fistulas. Duty 3: Collaborates with physicians, case managers, and other health professionals in assisting and meeting needs of ... procedures, and practices to ensure quality job performance and Medicare /Medicaid compliance to include OASIS if appropriate. REQUIRED QUALIFICATIONS Possesses… more
- Careerbuilder-US (Chatham, PA)
- …program growth! This organization is accredited by the Joint Commission and Medicare . The clinical staff undergo extensive home health care training, annual ... competencies review, as well as professional development, a clinical advancement program and lifelong learning on the most cutting-edge clinical procedures. With an in-house education department, the organization brings a dedication to educational preeminence… more
- Bridge Personal Care Services (Findlay, OH)
- …within the Home Health/Hospice system. Opportunities would include: Home Health RN Home Health Case Manager Home Health Admission Nurse Wound Care RN Unique Home ... and Hospice. Duty 3: Establishes and maintains communication/collaboration with the case manager , interdisciplinary team, and patient's primary physician… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with agency policy and procedure.Collaborates and communicates with the patient/family, RN Case Manager , Patient Care Manager , RN Supervisors, Physician, ... care, especially difficult to control symptoms of hospice patients.Recommends/assists the RN Case Manager in coordinating all aspects of care for patients… more
- Molina Healthcare (Detroit, MI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care...the Personal Care team. This position will have a case load and manage members enrolled in this program.… more
- Carle (Urbana, IL)
- … Manager . Responsibilities include: faxing, copying, sending referrals for the RN Case manager , Medicare Letter delivery, delivery of Federal(MOON) and ... Management system and Epic. + Responsible for maintaining Medicare regulatory compliance with the delivery of the "Important...the "Important Message" documents. + Collaborates with the RN Case Manager and SW Case … more
- Molina Healthcare (El Paso, TX)
- …for TX licensed RN in the El Paso service delivery area to work as a Case Manager with our Medicare membership located there. Part of the responsibilities ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- McLaren Health Care (Port Huron, MI)
- …all Medicare residents' MDS assessments. The coordinator will act as resource for the Medicare MDS Case Manager RN's, LTC nurses and all others requiring ... work in collaboration with the rehab director and nurse manager in an effort to provide excellence in the...Rehab. **JOB SPECIFIC TASKS & ESSENTIAL DUTIES:** + MDS Case Managers will coordinate care for their assigned resident… more
- The Cigna Group (Bloomfield, CT)
- …+ Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred + Experience with community resource organizations + ... facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the...care to the customer and primary care physician. Prioritize case goals, monitor the completion of care goals and… more
- The Cigna Group (Bloomfield, CT)
- …which is a Band 3 Senior Contributor Career Track Role.** For this position, Nurse Case Manager Senior Analyst, through the case management process, will ... members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate,...care to the consumer. Ideal candidate would have previous case management experience with the Medicare /Medicaid population… more
- Pipeline Health System, LLC (Gardena, CA)
- RN - Case Management for Bundled Payment Medicare ...care through a ninety-day episode of care. The BPCI Case Manager is a market position and ... the following within the Pipeline Health System Hospitals. The BPCI RN Case Manager works collaboratively as part of a multi-disciplinary team to provide patient… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM… more
- Medical Mutual of Ohio (OH)
- …. **_Eastern & Central Time Zones preferred._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is a virtual position; US based **National Government Services** is a proud member of ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- ACI Federal (Norfolk, VA)
- Case Manager - CM II PATH EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment ... for the annual performance evaluation. Full-Time/Part-Time Full-Time Position Non-Medical Case Manager Position Requirements Knowledge, Skills, and Abilities:… more
- HCA Healthcare (El Paso, TX)
- …from the hospital to other involved healthcare entities. The duties of the acute care Case Manager may be performed as in the integrated or triad model. + ... appeals. + You will educate patient and family on case manager role and process for contacting...delivery of CMS discharge appeals rights communication to applicable Medicare patients within the indicated time frame required by… more
