• Non - Medicaid Care

    Family and Children's Association (Mineola, NY)
    Non - Medicaid Care Manager The Opportunity The Care Manager will provide support, linkage, and coordination of services to children and youth ages ... contacts a month + Complete and submit all assessments, care plans, progress notes and any other written work...using a strength- based and family driven approach. + Non - Medicaid only: Assist families with the C-YES… more
    Family and Children's Association (10/25/24)
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  • Medicaid Director

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Director Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4701596)  Medicaid Director Salary $149,864.00 - $212,908.80 Annually ... Number 25-01015 Agency 400 Health & Human Services - Medicaid Opening Date 10/21/2024 Closing Date 11/20/2024 11:59 PM...Team, responsible for the direct oversight of all managed care operations, program policy, major IT system enhancements, and… more
    Iowa Department of Administrative Services (10/22/24)
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  • Case Manager RN - Medicaid Ltss (RN)

    Molina Healthcare (Suffolk, VA)
    …VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to ... Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they...+ Provides consultation, recommendations and education as appropriate to non -RN case managers + Works cases with members who… more
    Molina Healthcare (09/13/24)
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  • RN Case Manager - Medicaid

    Molina Healthcare (Riner, VA)
    Manager RN will work in remote and field setting supporting our Medicaid Population. Complete assessments, create care plans, and provides educations to our ... This is a fast-paced position and productivity is important. Strongly preferred previous manage care experience. Must be licensed in the state of VA **(Up to 25%)… more
    Molina Healthcare (11/07/24)
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  • Medicaid Eligibility

    City of New York (New York, NY)
    …and the HRA One viewer. - Determine eligibility for the appropriate level of Medicaid coverage for MAGI and Non -MAGI applicants and recipients. - Prepare ... The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families… more
    City of New York (08/23/24)
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  • Medicaid Contr/Implmnt Mgmt Mgr (US

    Elevance Health (Las Vegas, NV)
    …within 50 miles of one of our Elevance Health PulsePoint locations. The ** Medicaid Contr/Implmnt Mgmt Mgr** is responsible for guiding Medicaid State/Alliance ... Requirements:** + Requires a BA/BS and minimum 4 years experience in the health care or related field; or any combination of education and experience, which would… more
    Elevance Health (11/02/24)
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  • Medical Director - Kansas Medicaid

    Elevance Health (Topeka, KS)
    …on changes in healthcare. + Leads, develops, directs, and implements clinical and non -clinical activities that impact health care quality cost and outcomes. + ... Internal Medicine, Family Medicine, Emergency Medicine board certification preferred. + Medicaid experience preferred. + Managed Care experience preferred.… more
    Elevance Health (11/02/24)
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  • Medicaid Quality Management Director

    Elevance Health (Buffalo, NY)
    ** Medicaid Quality Management Director** Location: This position will work a hybrid model (remote and office). The candidate must live within 50 miles of the ... and reports quality measures per state, Centers for Medicare and Medicaid Services (CMS), and accrediting requirements. **Minimum Requirements:** + Requires BA/BS… more
    Elevance Health (10/25/24)
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  • RN Utilization Management Nurse Sr.…

    Elevance Health (Tampa, FL)
    RN Utilization Management Nurse Sr. ( Medicaid -InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... elevated medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient… more
    Elevance Health (10/01/24)
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  • Assistant Program Manager - Rehabilitation…

    Service Source (Oakton, VA)
    …and wellness incentives. This position serves in an assistant capacity to the Program Manager . Serves in an acting capacity in the absence of the Program Manager ... compliance with all State and Federal regulatory guidelines, including Medicaid , Licensing, and CARF as well as other funding...Performance Review. + Perform the duties of the Program Manager in his/her absence. Ensure the daily operations are… more
    Service Source (11/07/24)
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  • Field Case Manager , Ltss (IDD population)…

    Molina Healthcare (Dallas, TX)
    **JOB DESCRIPTION** **Opportunity for experienced, non -RN Case Manager to join our LTSS Team working with our Medicaid members who have an IDD diagnosis. ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (10/17/24)
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  • Care Manager RN

    Central Maine Medical Center (Lewiston, ME)
    …experiences for our community and for each other every day. Position Summary: The Care Manager assesses, plans, implements, and evaluates the needs of patients ... care . + Responsible for performing assessments on Medicare, Medicaid , and high-risk patients to determine discharge planning needs; always documents… more
    Central Maine Medical Center (09/29/24)
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  • Care Team Coordinator, CMA or Non

    Marshfield Clinic (Park Falls, WI)
    …to support the most exciting missions in the world!** **Job Title:** Care Team Coordinator, CMA or Non -Certified **Cost Center:** 501531099 Phillips-Primary ... (AHA) at time of hire. **OR** **JOB SUMMARY** The Care Team Coordinator ( Non -Certified) functions as an...participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must… more
    Marshfield Clinic (09/23/24)
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  • Sr. Manager - Patient Financial Services…

    Stanford Health Care (Palo Alto, CA)
    …and procedures; updates staff and outside departments on government (Medi-Cal/ Medicaid /Medicare/VA) regulations and non -government payor medical and billing ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Under the general direction...of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities… more
    Stanford Health Care (10/25/24)
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  • FT Adolescent Case Manager / Care

    Outreach Development Corporation (Bellport, NY)
    …on designated and approved route. Exercise due diligence in the delivery of quality care in line with agency Medicaid Compliance Plan and systems of ... the compliance officer and/or the supervisory structure of any violation of non -compliance with the agency's Medicaid compliance plan and personnel policy… more
    Outreach Development Corporation (11/07/24)
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  • Care Manager

    Lifespan (Rochester, NY)
    …PROGRAM:Finger Lakes Caregiver Institute (FLCI) SUPERVISOR:FLCI Program Manager , Care Management STATUS:Full Time or Part-time, Non -exempt Hourly Rate: $20.00 ... Care Manager Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description JOB TITLE: Care Manager more
    Lifespan (10/07/24)
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  • Case Manager / Care Coach- Adams,…

    Humana (Green Lake, WI)
    …and help us put health first** Job Description Summary Humana/iCare is seeking a Case Manager / Care Coach to join the growing team in the Family Care ... of Wisconsin or be eligible for Certification and Licensure. + Previous managed care experience. + General knowledge of Medicaid and Medicare benefits.… more
    Humana (10/30/24)
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  • Manager , Compliance & Ethics

    Stanford Health Care (Palo Alto, CA)
    …- 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Manages daily compliance program integrity operational activities, ... the development and maintenance of a robust compliance program for Stanford Health Care , Stanford Children's Health, University Health Care Alliance and Packard… more
    Stanford Health Care (11/08/24)
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  • Provider Network Account Manager III

    LA Care Health Plan (Los Angeles, CA)
    … III is responsible for representing LAC in their partnership with contracted and non -contracted providers, at all times. The Account Manager III is responsible ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager more
    LA Care Health Plan (11/06/24)
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  • Provider Network Account Manager II

    LA Care Health Plan (Los Angeles, CA)
    … II is responsible for representing LAC in their partnership with contracted and non -contracted providers, at all times. The Account Manager II is responsible ... $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager more
    LA Care Health Plan (08/30/24)
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