- Aveanna Healthcare (Vancouver, WA)
- …leaves 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
- LocumTenens (Bouckville, NY)
- …care. Candidates must be board-certified and hold an active New York Medicare /Medicaid enrollment. Additional Job Details Case Load/PPD: TBD Patient Population: ... Adults Location Type: On-Site Prescriptive Authority Required: Yes Government: No Shift Hours: Full time (40 hours) Why choose LocumTenens.com? Our services are 100% free for clinicians and are designed for a seamless experience with every assignment:… more
- Monogram Health (Fort Myers, FL)
- …required in each state within the market Experience with high need Medicare Advantage and managed Medicaid populations Experience with NCQA, HEDIS, Medicaid, ... Medicare , quality improvement, medical utilization management, and risk adjustment...matching contributions Relocation assistance and sign on bonus on case -by- case About Monogram Health: Monogram Health is… more
- Monogram Health (Jacksonville, FL)
- …401(k) with matching contributions Relocation assistance and sign on bonus on case -by- case ? Roles & Responsibilities? Collaborate with market Medical Director ... of care discussions and advance care planning Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations??… more
- Monogram Health (Tampa, FL)
- …401(k) with matching contributions Relocation assistance and sign on bonus on case -by- case ? Roles & Responsibilities? Collaborate with market Medical Director ... of care discussions and advance care planning Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations??… more
- Christus Health (San Antonio, TX)
- …resource management for patient care delivery (Conditions of Participation COP 482.30). Case Managers enhance the continuity of care and cost effectiveness by ... integrating the functions of case management, resource management, clinical documentation management, and discharge planning (Conditions of Participation COP… more
- Merck & Co. (WA)
- …Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. Qualifications: Minimum Requirements:Bachelor's degree ... Skills: Accountability, Accountability, Account Management, Adaptability, Biopharmaceutical Industry, Business Case Development, Business Model Development, Business Relationship Building, Business… more
- Merck & Co. (SD)
- …Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. Qualifications: Minimum Requirements: Bachelor's ... Account Management, Account Management, Adaptability, Biopharmaceutical Industry, Biopharmaceuticals, Business Case Development, Business Model Development, Business Relationship Building, Business… more
- Hope Services (San Jose, CA)
- …patients with mental health disorders. Be eligible for MediCal/ Medicare certification. Authorized to prescribe controlled substances. Principle Responsibilities: ... Medical Guidelines. Interface closely with medical director, nurses, clinicians and case managers for a client-centered approach to mental health care Obtains… more
- Christus Health (Woodworth, LA)
- …severity and services rendered to patients with a DRG based payer ( Medicare , Medicaid). Supports timely, accurate and complete documentation of clinical information ... coding and reimbursement as well as performance improvement methodologies. Collaborate with case manager regarding cases with length of stay outside of the expected… more
- Christus Health (Corpus Christi, TX)
- …enduring commitment to excellence. We are a multi-specialty facility and Medicare -certified. All of our physicians are board-certified with significant training and ... by setting up tables, instruments, and supplies according to type of case . Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of… more
- LocumTenens (Bouckville, NY)
- …expected within 48 hours. Spanish-speaking candidates and those already enrolled in Medicare /Medicaid are highly preferred. Additional Job Details Case Load/PPD: ... 15-20 Support Staff: MA Patient Population: Adults Location Type: On-Site Prescriptive Authority Required: Yes Government: No Why choose LocumTenens.com? Our services are 100% free for clinicians and are designed for a seamless experience with every… more
- MJHS (New York, NY)
- …affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of ... Reporting to the Supervisor of Care Management this position will provide case management to our members including medical, social, psychological, physical and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …care management staff and other associated teams + Supports and participates in Medicare Case Management rounds + Conduct comprehensive medication reviews for ... your true colors to blue. The Role The Clinical Pharmacist, Medicare Clinical Programs is responsible for providing comprehensive medication management services… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- CVS Health (Gladstone, MO)
- …preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management, discharge planning, and/or ... comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care… more
- Genesis Healthcare (Albuquerque, NM)
- …MDS Nurse -- RN manages the overall process and tracking of all Medicare /Medicaid case -mix documents to ensure appropriate reimbursement for all services ... Medicare /Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must maintain current BLS/CPR… more
- Henry Ford Health System (West Bloomfield, MI)
- …of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. ... DAYS POSITION (MUST HAVE WEEKEND AVAILABILITY) GENERAL SUMMARY: The Case Manager is a member of the hospital or...and family's health care needs. The goals of the case manager are to promote patient safety, quality of… more
- Henry Ford Health System (Detroit, MI)
- …of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. + ... The Case Manager Social Worker provides therapeutic intervention and...and departmental policies and procedures. GENERAL SUMMARY: + The Case Manager is a member of the hospital or… more
- Henry Ford Health System (Detroit, MI)
- …of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. + ... now hiring passionate & dedicated RN or Social Worker Case Managers to join a new Henry Ford Health...with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered… more
