- CAMBA (Brooklyn, NY)
- …and people whose income makes them ineligible for Medicaid, but who cannot afford private insurance . This case management model serves as a bridge to help ... the challenges faced by nearly 1.7 million New Yorkers today. CAMBA's Case Management and Health Education Services Program (CHES) provides community-based… more
- Synergy Healthcare Solutions (FL)
- …and guidelines is essential, empowering you to navigate the complexities of health insurance and case management with confidence. You'll exhibit strong ... and guidelines. + Must have comprehensive knowledge of managed care, health insurance , and Case Management . + Ability to negotiate coverage and provide… more
- Medical Mutual of Ohio (OH)
- …3 years as a Registered Nurse with a combination of clinical and case management experience, preferably in the health insurance industry. + Case ... are looking for applicants that have a strong clinical case management background. Medicare experience is a...is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of… more
- Sanofi Group (Cambridge, MA)
- …+ Educates patients, caregivers, health care providers, and others regarding insurance limitations/requirements, case management services, and relevant ... **Job Title:** Case Management Specialist - Oncology **Location**...to home care management , case management review, utilization review, social service support, insurance… more
- Sanofi Group (Cambridge, MA)
- …care providers, and others regarding insurance options, requirements or limitations, case management services, and steps needed to gain product and ... skills preferred. + Salesforce CRM experience + Direct experience in the case management , insurance , or healthcare systems fields + Pharma/biotech patient… more
- Covr Financial Technologies (Houston, TX)
- Case Manager, Life Insurance REPORTS TO: Team Lead, Case Management DEPARTMENT: Insurance Operations FLSA STATUS: Exempt TRAVEL: None WORK SCHEDULE: ... the buying process for life, long-term care, and disability insurance products sold through financial and wealth management...First, Collaboration, Innovation and Fun! JOB SUMMARY: Our term case managers take case management … more
- Highmark Health (Columbus, OH)
- …and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in cognitive ... Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- ACI Federal (Norfolk, VA)
- …Income (SSI), Social Security Disability Insurance (SSDI), (c) VDH's HIV Case Management standards (d) cultural competency, and (e) RW eligibility. If ... team for unparalleled solutions in healthcare transformation. Description Provides Service Coordination/ case management services to children, birth to three… more
- ACI Federal (Norfolk, VA)
- …Income (SSI), Social Security Disability Insurance (SSDI), (c) VDH's HIV Case Management standards (d) cultural competency, and (e) RW eligibility. If ... REQUIREMENTS: Knowledge: * State Licensure Requirements * Consumer Rights Regulations * Case Management Components * Available community resources * Psychotropic… more
- Penn Medicine (Lawrenceville, NJ)
- …verify coverage and authorization within established guidelines. + Processes correspondence from insurance companies, case management and other departments ... you living your life's work? Summary: + Under general supervision, the Insurance Verification Analyst is responsible for obtaining insurance pre-certification.… more
- Community Health Network (IN)
- …clinical staff management experience in population management or managed care/ insurance or hospital case management department setting is preferred. ... healthcare delivery system. **Make a Difference** The IHCI Manager of Case Management will have primary responsibility for day-to-day and strategic oversight of… more
- Health First (Melbourne, FL)
- …validation of demographics, insurance information, and facilitation of assigned case management tasks, relating to reimbursement, discharge planning, and ... *POSITION SUMMARY * The Case Management Support Specialist position is...Associate degree. * Work Experience: * Medical, acute care, insurance , or social work experience. * One year of… more
- PeaceHealth (Vancouver, WA)
- …substituted for preferred experience and + Required: Care management and/or hospital insurance case management experience may be substituted for clinical ... etc. Responsible for abstracting and/or auditing a large volume of clinical case records, data, or other information within established deadlines in support of… more
- Penn Medicine (Plainsboro, NJ)
- …to facilitate coverage and payment within established guidelines. Processes correspondence from insurance companies, case management and other areas within ... to facilitate coverage and payment within established guidelines. Processes correspondence from insurance companies, case management and other areas within… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to all internal/external team members. + Notifies all necessary inpatient/outpatient personnel and insurance case management of all changes in patient ... on the plan of care for each patient; Obtains insurance authorization and coordinates efforts to establish clinical and...Oncology nursing for minimum of 1 year. + Prefer case management experience. + Prefer Bone marrow… more
- Penn Medicine (Moorestown, NJ)
- …plan implementation and coordination, discharge planning, utilization management with insurance companies, and case management with social service ... status and communicate to the appropriate member of the treatment team. + Case Management (when assigned) + Performs case management with internal… more
- Penn Medicine (North Brunswick, NJ)
- …and coordination, referent relations, discharge planning, utilization management with insurance companies, and case management with social service ... clinical status and communicate to the appropriate member of the treatment team. + Case Management + Performs case management with internal and external… more
- Penn Medicine (North Brunswick, NJ)
- …and coordination, referent relations, discharge planning, utilization management with insurance companies, and case management with social service ... clinical status and communicate to the appropriate member of the treatment team. Case Management Performs case management with internal and external… more
- Penn Medicine (Hamilton, NJ)
- …and coordination, referent relations, discharge planning, utilization management with insurance companies, and case management with social service ... clinical status and communicate to the appropriate member of the treatment team. Case Management (when assigned) - Performs case management with internal… more
- Illumination Foundation (Los Angeles, CA)
- …Los Angeles County and the Inland Empire. Job Description The Associate Manager of Case Management is responsible for overseeing all CalAIM recuperative care and ... post hospitalization related processes and assisting the manager of case management with the supervision of Los...driver's license + Have a dependable vehicle with automobile insurance + Computer literate; ability to use Microsoft Office… more
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