- New York State Civil Service (Syracuse, 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 (6417) Occupational Category Legal Salary Grade NS Bargaining… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Highmark Health (Dover, DE)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to… more
- NTT DATA North America (Montgomery, AL)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
- Elevance Health (Washington, DC)
- …Health Medical Director - Psychiatrist - District of Columbia (aka Washington DC) Medicaid ** **Location:** This role requires associates to be in-office 4 days per ... **Behavioral Health Medical Director** is responsible for reviewing cases for DC Medicaid members including pharmacy, child, and substance use disorders, and all… more
- Elevance Health (Durham, NC)
- **Behavioral Health Medical Director - Psychiatrist - North Carolina Medicaid ** **Location:** This role enables associates to work virtually full-time, with the ... The **Behavioral Health Medical Director** is responsible for reviewing cases for NC Medicaid members including child and substance use disorders, and all levels of… more
- Elevance Health (Seven Fields, PA)
- **Medical Director Associate- Psychiatrist- Pennsylvania Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- Lifespan (Rochester, NY)
- …and helping plan and maintain long -term financial security of clients. The case manager is responsible for processing Social Security, Medicaid and ... Case Manager -Financial Services Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description STATUS: Full-time (37.5… more
- BayCare Health System (Brooksville, FL)
- …and clinical excellence. BayCare Health Systems is currently seeking an experienced ** Case Manager ** to join our outstanding and compassionate team in ... **Weekend Work** : No + **On Call:** No **The Case Manager is responsible for:** + ...Preferred for all case managers. + **Targeted Case Managers required to bill Medicaid .** **Benefits:**… more
- Actalent (Jacksonville, FL)
- …adapt to changing priorities and hybrid schedules. + InterQual experience. + Certified Case Manager . + Familiarity with Medicaid /Medicare regulations. + ... Licensed Nurse in FL!! Job Description The OB RN Case Manager will coordinate care for maternal...and continuously monitoring clinical outcomes to support compliance with Medicaid contracts and promote improved maternal and neonatal outcomes.… more
- Humana (Racine, WI)
- …of our caring community and help us put health first** Humana/iCare is seeking a Case Manager to join the growing Racine/Kenosha County team in the Family Care ... Partnership (FCP) program. The FCP Case Manager provides care management services through...a thorough understanding of the range and type of long term care options available in the community. +… more
- WestCare Foundation (Key West, FL)
- …of Children and Families regulations including but not limited to 65E-15 FAC, 65D-30.; Medicaid regulations as it pertains to case management and DCF contractual ... Assists staff in mentoring, training and monitoring regarding agency and Medicaid requirements including service manager , eligibility, authorizations, service… more
- Outreach Development Corporation (Brentwood, NY)
- F/T SOR Case Manager ; Brentwood, NY, US Salary range: $22 - $25 As one of the leading providers in behavioral health services, Outreach offers an exciting, ... environment. We are seeking an experienced and extremely motivated Case Manager to work in our Outpatient...the delivery of quality care in line with agency Medicaid Compliance Plan and systems of accountability. * Insure… more
- WestCare Foundation (Doral, FL)
- …Time Education Level 4 Year Degree Description https://info.flclearinghouse.com Position Summary: The Case Manager plays a vital role in supporting children and ... at risk of removal from their homes due to abuse, neglect, or abandonment. Case Manager is responsible for implementing the Florida Child Welfare Practice Model,… more
- 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
- DESC (Seattle, WA)
- Benefits Navigator Case Manager - STAR Center Seattle, WA (http://maps.google.com/maps?q=619+3rd+Ave+Seattle+WA+USA+98104) *STAR Center Apply Job Type Full-time ... **Shift:** Day (9:00am - 5:30pm) **Insurance Benefits:** Dental, Life, Long -term Disability, Medical (no premiums/payroll deductions for employee coverage) **Other… more
- Cambridge Health Alliance (Cambridge, MA)
- …with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other members of the health care team to ... RN Case Manager - Inpatient Case...RN Case Manager - Inpatient Case Management CH...believe in where they work and why many build long , rewarding careers at CHA._ _Healthcare is changing rapidly.… more
- Cambridge Health Alliance (Somerville, MA)
- …with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other members of the health care team to ... RN Case Manager - Inpatient Case...RN Case Manager - Inpatient Case Management SH...believe in where they work and why many build long , rewarding careers at CHA._ _Healthcare is changing rapidly.… more
- Child & Family Services of RI (Providence, RI)
- …are addressed using a person-centered approach and under the guidelines of Medicaid Long Term Supports and Services. The case manager may assist with ... services to participants who are part of the Conflict Free Case Management Model. The Case Manager provides in-home visits, monthly outreach, person-centered… more
- Humana (Webster, WI)
- …of our caring community and help us put health first** Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members ... members to thrive in their daily lives. As a Case Manager , you will provide comprehensive social...additional community resources + Prior experience with Medicare & Medicaid recipients **Additional Information** + **Workstyle:** This is a… more