- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** Case Manager RN will support our Medicare Population in the state of South Carolina. Case Manager will be required to communicate ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Cassia (Des Moines, IA)
- …MDS assessments and observations. + Develop initial and temporary care plans. + Assist Case Manager with Medicare scheduling, monthly billing, charting, and ... referral records, and reports. + Work in collaboration with Admissions staff, Case Manager , and Supply Coordinator. + Display a courteous attitude and respect… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and ... members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate,...equivalent of direct clinical care to the consumer + Case Management exp strongly preferred + Medicare … 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)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... 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 Tuesday, November 5, 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 (Atlanta, GA)
- ** Medicare Medical Director** Location: This position will work a hybrid model (remote and office). The ideal candidate will **must live** within 50 miles of one of ... our Elevance Health PulsePoint locations. The ** Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical… more
- Katmai (Usaf Academy, CO)
- …and the Central Referral Center. + Maintains current directories of local Medicare providers, suppliers, and Institutions. + Evaluates case management process ... **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES &… more
- Medical Mutual of Ohio (OH)
- … Medicare Supplement, and individual plans. Under limited supervision, the RN Case Manager evaluates and provides support to members, their families, and ... are looking for applicants that have a strong clinical case management background. Medicare experience is a...state licensure preferred and may be required. + Certified Case Manager (CCM) or other industry recognized certification… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Registered Nurse (RN) Case Manager - Monday thru Friday, On Site **The position is on site at the facility, and remote work will not be considered.** Benefits of ... the Registered Nurse (RN) Case Manager : + It Really Pays to...care setting. + Proficient in ability to interpret Managed Care/ Medicare Advantage Contracts and provide education to the teams… more
- ACI Federal (Norfolk, VA)
- Case Manager - CM III ITCN 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
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; Certified Case Manager (CCM) - Commission for Case Manager ... in Nursing or in health related field. + Certified Case Manager (CCM) - Commission for ...in accordance with payer contracts and benefit guidelines and/or Medicare guidelines.Engages the client/family in the planning process as… more
- Houston Methodist (Houston, TX)
- Case Manager -PRN + 18 shifts in a 6 week period (4 weekend shifts) + Must work 1 major holiday, 2 minor holidays + No benefits No PTO + Must float to all Houston ... -- Case Management-related **OR** ACM - Accredited Case Manager (NBCM) REQUIRED At Houston Methodist,...and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved… more
- ACI Federal (Norfolk, VA)
- Case Manager - CM III PATH EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment ... and assign other duties as necessary. Full-Time/Part-Time Full-Time Position Non-Medical Case Manager Position Requirements Knowledge, Skills, and Abilities: ?… more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Case Manager II position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Toledo, OH Medical Mutual ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans....state licensure preferred and may be required. . Certified Case Manager (CCM) or other industry recognized… more
- HCA Healthcare (West Palm Beach, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida JFK North Hospital you can be ... our organization. We are looking for an enthusiastic RN Case Manager PRN to help us reach...continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
- Sharp HealthCare (San Diego, CA)
- …Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Certified Case Manager (CCM) - Commission for Case Manager Certification; Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of… more
- CVS Health (Springfield, NJ)
- …be eligible for up to a $7,500 sign on bonus upon hire.** This is a remote Case Manager opportunity with 50 to 75% field travel in Union County and surrounding ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- HCA Healthcare (Fort Pierce, FL)
- **Description** Introduction Are you ready to manage in a new era as a Manager of Case Management where building a healthier tomorrow is more than a job? Our HCA ... an HCA Healthcare facility. Be an impact as a(an) Manager of Case Management where your passion...incorporate current trends successfully + Knowledge and understanding of Medicare IPPS rules and regulations + Must be proficient… more
- Henry Ford Health System (Detroit, MI)
- Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients,...in discharge planning or transitional care + Knowledge of Medicare , Medicaid, and other insurance programs By joining our… more
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