- Kaiser Permanente (Rockville, MD)
- Overview: Reporting to the Executive Director of Maryland HealthChoice, the Program Manager V is a key leader of KP's Regulatory Reporting and Technical ... alignment with the Maryland HealthChoice program . The Program Manager is responsible for regulatory reporting, Medicaid IT contractual requirements, and… more
- Molina Healthcare (Woodbridge, VA)
- …VIRGINIA. We are looking for candidates who live in within the state VA. Case Manager will work in remote and field setting supporting our Medicaid Population. ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. **JOB… more
- Molina Healthcare (Owensboro, KY)
- …will not be limited to collaboration with finance to develop or modify program and vendor budgets; vendor procurement, deployment, and management; and Product Owners ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (NY)
- …to reduce member access grievances with contracted providers. * Oversees the IHH program and ensures IHH program alignment with department requirements, provider ... education and oversight, and general management of the IHH program **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree in Health or Business related… more
- Molina Healthcare (Bronx, NY)
- …Whole Health by Molina_** **is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the delivery of long-term services ... chronically ill or disabled people who are eligible for Medicaid and Medicare.** **We are looking for Case Managers...preferred. Strong organizational and time management skills. The Case Manager must have the ability and be comfortable to… more
- Molina Healthcare (Anderson, SC)
- **JOB DESCRIPTION** Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South ... Carolina. Case Manager will be required to communicate telephonically and complete...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree (preferably in a… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... appeals/denials, customer service, cash applications, revenue integrity, etc. The manager position responsibilities include managing the daily work activities of… more
- Molina Healthcare (Dearborn, MI)
- …have a current active unrestricted RN license in the state of MI._ _Case Manager RN will work in remote setting supporting our Medicare/ Medicaid population who ... have recently been admitted into Hosptial. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent computer… more
- Molina Healthcare (Fort Worth, TX)
- …or LVN in the West Forth Worth service delivery area to work as a Field Case Manager with our Medicaid members there. The schedule is Monday - Friday, 8 AM - ... an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology,… more
- Molina Healthcare (Albuquerque, NM)
- **_We are seeking a CASE MANAGER for our NEW MEXICO Health Plan. Candidates must live in VALENCIA COUNTY OR BERNALILLO COUNTY in the state of New Mexico for ... Managers will work in remote and field settings our Medicaid Population. Excellent computer skills and attention to detail...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social… more
- Molina Healthcare (Columbus, OH)
- …will support our MMP ( Medicaid Medicare Population) with members on Waiver program . This position will have a case load and manage members enrolled in this ... program . We are looking for Registered Nurses who have...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Molina Healthcare (Redford, MI)
- …be licensed for the state of Michigan.** This position will support our MMP ( Medicaid Medicare Population). This position will have a case load and manage members ... enrolled in this program . We are looking for licensed social workers who...**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license (LVN/LPN) OR… more
- Molina Healthcare (Salt Lake City, UT)
- …active unrestricted RN license in the state of UT This position will support our Medicaid Population that is live within the state of UT. This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have experience working with manage care population and/or case… more
- Molina Healthcare (San Bernardino, CA)
- …and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/ V . Key Words: CHIP, Medi-Cal, Medicare, Medicaid , Duals, Covered ... **Molina Healthcare** is hiring a ** Manager of Growth and Community Engagement** in the...addition, works collaboratively with other key departments to increase Medicaid assignment percentages for Molina. + Responsible for day-to-day… more
- Fresenius Medical Center (Apex, NC)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Acacia Network (Brooklyn, NY)
- …phase to refer to Outpatient aftercare services + Along with department manager , maintains all program waiting lists, admissions, discharges and updates ... other relevant data. + Answers all inquiries from potential program clients, returning all calls within 24-48 hours. +...the Benefits department to ensure client financial status via Medicaid and other managed care funding source. May need… more
- HCA Healthcare (Jacksonville, FL)
- …Director with Surgery Ventures powered by HCA Healthcare, you can be a manager in an organization that is devoted to giving! **Benefits** Surgery Ventures powered ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Fresenius Medical Center (Walnut Creek, CA)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Logan Health (Whitefish, MT)
- Job Description Summary: The Care Manager /Discharge Planner (CM/DP) uses the nursing process to coordinate, negotiate, procure, and evaluate the care of patients to ... guides care plans collaboratively with patients and families. B. The care manager participates in quality improvement and evaluation processes related to the… more
- Molina Healthcare (Columbus, OH)
- …Improvement Compliance. + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for other specialists within ... with and between other departments within the organization. + Evaluates project/ program activities and results to identify opportunities for improvement. + Surfaces… more
