- NewYork-Presbyterian (Brooklyn, NY)
- …experience that a successful applicant will need are listed in the following description. Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located ... to the surrounding communities for over 135 years. The Case Manager is responsible for all aspects...Completing 100% clinical reviews for managed care, Medicare and Medicaid admissions - Completing concurrent and retrospective reviews -… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with military and… more
- Aveanna Healthcare (Oshkosh, WI)
- …in a health care setting HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California more
- Aveanna Healthcare LLC (Vancouver, WA)
- …of absence, compensation, and training. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California more
- Centers for Independence (Milwaukee, WI)
- …with participants in maintaining financial eligibility by keeping record of when Medicaid reviews are due and by assisting participants in completing forms, making ... copies of verification items, and submitting paperwork to the Income Maintenance (IM) department. + Attends and participates in regularly scheduled phone conferences and face-to-face team meetings as required by the Regional Supervisor. + Attends all DHS and… more
- Aveanna Healthcare LLC (Jasper, AL)
- …staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered ... is salaried with a 10% bonus incentive plan ** Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator… more
- Aveanna Healthcare LLC (Brookfield, WI)
- …staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered ... $10K Sign on Bonus Position Overview The RN Clinical Manager works under the direction and guidance of the...employee evaluations for all clinical staff. Responsible for overseeing case management to ensure services that are financially sound.… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Stony Brook University (Stony Brook, NY)
- Outpatient Care Manager **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/Outpatient Care Manager ** is a valuable member of our team, who ... while adhering to our high standard of excellence. **Duties of an Outpatient Care Manager ** **may include the following but are not limited to:** + Documents in the… more
- Commonwealth Care Alliance (Boston, MA)
- …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Somatus (Fairfax, VA)
- …care team, serving both as a patient advocate and a strategic partner to case management teams and hospital staff. This role collaborates with local leadership and ... case management teams at key facilities identified by the Operations Manager to strengthen relationships, improve care coordination, and expand awareness of… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …the Program Manager , this position is responsible for providing comprehensive case management and transition services to youth with chronic conditions in the ... within our Navigation Hub. The Navigation Hub is accountable for providing individualized case management support to referred patients and families. This case … more
- UnitedHealthcare (Kaneohe, HI)
- …Driver's license and access to reliable transportation Preferred Qualifications: CCM (Certified Case Manager ) Case Management experience Experience with or ... Word, Excel and Outlook Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals… more
- Christus Health (Woodworth, LA)
- …coding and reimbursement as well as performance improvement methodologies. Collaborate with case manager regarding cases with length of stay outside of ... and services rendered to patients with a DRG based payer (Medicare, Medicaid ). Supports timely, accurate and complete documentation of clinical information used for… more
- Molina Healthcare (Houston, TX)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of new… more
- Cordis (Trenton, NJ)
- …and works in partnership with the Territory Manager and Associate Territory Manager to achieve daily sales objectives through case support and product ... Responsible for direct revenue generation (transactional Business) through direct case support. ?Reports to National Clinical Sales Director.? **Responsibilities** +… more
- CDPHP (Latham, NY)
- …be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care of CDPHP ... In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating requests for prior authorization… more
- Centene Corporation (Austin, TX)
- …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN, ... Health experience is required **Preferred Experience:** * 3+ years of case management, care coordination, treatment and/or discharge planning with adult population… more
- Iowa Department of Administrative Services (Osceola, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... challenges and access resources that promote long-term stability Every case you take on is a chance to make...apply Iowa Code and agency policies to determine appropriate case outcomes + Apply analytical reasoning to complex casework… more
- MyFlorida (West Palm Beach, FL)
- …assisting individuals and families in accessing services, ensuring compliance with Medicaid requirements, conducting WSC case transfers, and other initiative ... MEDICAID WAIVER SUPERVISOR - 67013921 Date: Dec 15,...processes by ensuring submissions made to the Regional Operations Manager and Deputy ROM for approval follow the Agency… more
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