- Medical Mutual of Ohio (OH)
- …of experience, training, and education. . 1- 2 years of experience as a Medicare Pharmacy Coordinator or equivalent 5-6 years of experience in a health plan, ... remote opportunity_** . **_Eastern & Central Time Zones preferred._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision,… more
- State of Georgia (Fulton County, GA)
- …of Medicaid Coordination and Health Systems Innovation. The OMC/HSI Program Coordinator serves as a supporting expert on Medicaid and Healthcare policy, ... Intellectual and Development Disabilities and Administration to support health and Medicaid innovations; Coordinator for DBHDD programmatic experts and directors… more
- Spokane County (Spokane, WA)
- …System for Award Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid , and all Federal healthcare programs. + Must successfully pass ... needed to maintain credentials. Behavioral Health Administrative Service Organization Integrated Care Coordinator : + Two ( 2 ) years of direct behavioral health… more
- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2 ) who assesses and evaluates member's ... Committed? If so, apply today! **Position Responsibilities:** The Care Coordinator 2 employs a variety of strategies,...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working… more
- Elderwood (Wheatfield, NY)
- …for each individual assessment. + Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking ... $87,750 / year Overview Sign on bonus for MDS Coordinator $10,000 for full-time (paid over 12 months) What...Case Mix Index (CMI) preferred + Experience with state Medicaid program, Medicare /PPS program, Managed Care programs,… more
- City of New York (New York, NY)
- …to present regarding Medicaid , Medicaid Excess Income, and the Medicare Savings program. The Community Liaison Coordinator will: - Conduct monthly ... The Eligibility Information Services Unit is responsible for providing information to Medicaid providers on Medicaid eligibility requirements that are mandated… more
- Fresenius Medical Center (Denver, CO)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Grants Accounting - Coordinator 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4653309) Grants Accounting - Coordinator 2 ... programs. * Minimum one year of professional experience in healthcare field, Medicaid program support, or working with insurance/ Medicare . Benefits for… more
- University of Rochester (Rochester, NY)
- …in the system. + Examples of reports: + 2 nd insurance level report + Medicare and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% ... at RTP are required. Remote location must be within 2 hours of RTP and within New York State....trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and… more
- Humana (Indianapolis, IN)
- …funding sources to meet their needs. + Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director/Geriatrician/Care Coordinator as ... and help us put health first** The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs...or long-term care case management experience + Experience with Medicare & Medicaid recipients + Experience with… more
- City of New York (New York, NY)
- …and workshops to older adults, community partners, and other groups on Medicare , Medicaid , Medigap, Elderly Pharmaceutical Insurance Coverage (EPIC), and ... 's preventive services. New York State certified counselors provide assistance with Medicare Part D prescription plan selection, Medicare Savings Programs, and… more
- Diversicare Healthcare Services & Diversicare Ther (Huntsville, AL)
- …entities per company guidelines and State and Federal regulations. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely ... **Overview** **Exciting Opportunity: Join Diversicare as an MDS Coordinator - RNAC or LNAC!** Diversicare is seeking a...Activities. 19. Continues to update knowledge base related to Medicare , Managed Care, Medicaid , RAI Process and… more
- New York State Civil Service (New York, NY)
- …utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a ... Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York State Psychiatric Institute, P25409...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Transition Coordinator (Care Coach 2 ) evaluates member's needs and requirements to achieve and/or ... the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation...+ Interqual or Millman experience + Prior experience with Medicare & Medicaid recipients + Previous experience… more
- Albany Medical Center (Albany, NY)
- …and/or ongoing consultation as needed. + Counsel and refer families regarding SSD, Medicare , Medicaid , Managed Long Term Care Programs, TBI programs, etc. + ... at the Center of Excellence for Alzheimer's Disease in the role of Program Coordinator to make a significant impact on advancing comprehensive specialty care for our… more
- University of Utah (Salt Lake City, UT)
- …criteria as it pertains to various insurance companies, HMOs, PPOs, and Medicare / Medicaid . 9. Works with laboratories and insurance companies to facilitate ... **Open Date** 08/28/2024 **Requisition Number** PRN39706B **Job Title** PS Study Coordinator **Working Title** Genetic Counseling Study Coordinator **Job Grade**… more
- Lifespan (Rochester, NY)
- …benefits and programs applicable to clients, including but not limited to SSI and Medicaid , MMLTC, VA, Medicare , SNT. 15. Networking with other Lifespan programs ... Program Coordinator Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description Job Title:Program Coordinator … more
- Baptist Memorial (Memphis, TN)
- Summary Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory ... Medicare billing environment. Previous audit experience, knowledge of InterQual and Medicare Billing practices. Minimum: Required 2 years of healthcare care… more
- Diversicare Healthcare Services & Diversicare Ther (Houston, TX)
- …entities per company guidelines and State and Federal regulations. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely ... Process under the direction of an RN or DNS 2 . Work in Collaboration with the interdisciplinary team to...Activities. 19. Continues to update knowledge base related to Medicare , Managed Care, Medicaid , RAI Process and… more
- State of Georgia (Gwinnett County, GA)
- …and developmental disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid , Medicare , war veterans and some private insurance across ... Care Coordinator (Certified Peer Specialist) ACT (Gwinnett/Rockdale/Newton) Georgia -...developmental disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid , Medicare , war veterans and some private… more
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