- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for an Associate , Bilingual Medicaid - Member Service Representative to ... the difference for our customers in every interaction Your key responsibilities: The Associate , Medicaid Member Service Representative is responsible for… more
- CenterWell Senior Primary Care (Las Vegas, NV)
- …Life Insurance/Disability Paid Time Off/Holidays Minimal Call Language Proficiency Testing Any Partners associate who speaks with a member in a language other ... professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their… more
- CenterWell Senior Primary Care (North Charleston, SC)
- …for the development, implementation and management oversight of the company's Medicare/ Medicaid Stars Program. The Quality RN Professional work assignments are ... to increase patient outcomes . W ork is performed within the associate 's assigned center locations and in collaboration with existing Quality Improvement… more
- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for an ** Associate , Bilingual Medicaid - Member Service Representative** to ... difference for our customers in every interaction **Your key responsibilities:** + The Associate , Medicaid Member Service Representative is responsible for… more
- HCA Healthcare (Fort Walton Beach, FL)
- …is recognized. Submit your application for the opportunity below: Medicaid Eligibility AdvocateHCA Florida Fort Walton-Destin Hospital **Benefits** Parallon ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Medicaid Eligibility Advocate for our team to ensure that we continue to provide… more
- Humana (San Juan, PR)
- …to protect member PHI / HIPAA information. **Language Proficiency Testing** Any Humana associate who speaks with a member in a language other than Spanish ... and independent determination of the appropriate courses of action. You must be fully bilingual in English/Spanish and will be required to pass a test for both… more
- AmeriHealth Caritas (Washington, DC)
- **Responsibilities:** The Bilingual (Spanish or Amharic) Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members with complex ... Care Manager II (RN/LICSW) is responsible for engaging the member , member caregiver, and providers to assess,...Arrangement** + This is an in office position. ; Associate responsible for commuter costs. ;Company has a commuter… more
- Humana (Miami Lakes, FL)
- …Program and therefore subject to driver license validation and MVR review. + Any Humana associate who speaks with a member in a language other than English must ... Health Insurance License** required. + **Must reside in** **Miami-Dade County.** + ** Bilingual ** in English and Spanish or an additional language, with the ability… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …requires a strong understanding of homecare regulations related to Medicare, Medicaid , and other insurance programs. The Intake Specialist will collaborate closely ... Home Health Aide Program (CHHA) and Managed Long-Term Care (MLTC), Medicaid , insurance verification, Maximus procedures, and MLTC enrollment. . Collaborate and… more
- Healthfirst (NY)
- …complete outbound calls according to approved scripts.** + **Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.** + **Searches in Marx (CMS) ... appointments for SHP and HF Complete Care prospective members with a Medicaid coverage issue or restriction.** + **Schedules Clinical Assessors to complete Community… more
- Molina Healthcare (Rochester, NY)
- …for promoting and increasing member enrollments into plan programs (ie; Member portal, Rewards Program, etc.) * Assists Medicaid Members in contacting ... and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical reminders (ie; product… more
- Molina Healthcare (NE)
- …Provides product and service information, and identifies opportunities to improve our member and provider experiences. **Job Duties** * Provide service support to ... not limited to, phone, chat, email, and off phone work supporting our Medicaid , Medicare and/or Marketplace business. * Conduct varies surveys related to health… more
- CVS Health (Atlanta, GA)
- …compassionate. And we do it all with heart, each and every day. Help us elevate our member care to a whole new level! Join our Aetna Team as an industry leader in ... Plan (D-SNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex...nursing, or rehabilitative stay. The TOC Coach ensures the member experiences a seamless transition to their next care… more
- Healthfirst (NY)
- …+ **Monitor Medicaid re-certification time frames for each active Medicaid member .** + **Ensure Human Resource Administration and//or Department of ... staff, unit, or department.** + **Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid… more
- Humana (Dayton, OH)
- …2 with Maternity, L&D, Mother Baby expertise. They will assess and evaluate member 's needs to achieve and/or maintain optimal wellness. The Field Care Manager will ... Nurse 2 works in a CM OR CM Plus capacity based on member 's needs. Assignments are varied and frequently require interpretation and independent determination of… more
- Humana (Clermont, IN)
- …a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member 's needs and requirements to achieve and/or maintain optimal wellness state by guiding ... care and wellbeing of members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to… more
- Humana (Jackson, MS)
- … Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure Home or Hybrid ... Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP)...and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care… more
- Humana (Miami, FL)
- …caring community and help us put health first** The Care Coach evaluates member 's needs and requirements to achieve and/or maintain optimal wellness state by guiding ... you will apply! The Care Coach 1 + Visit Medicaid members in their homes, Assisted Living Facilities, and/or...settings - 75-90% local travel + Assesses and evaluates member 's needs and requirements in order to establish a… more
- Humana (Springfield, IL)
- …employs a variety of strategies, approaches, and techniques to manage a member 's health issues and identifies and resolves barriers that hinder effective care. ... appropriate provider engagement and adherence to treatment plans. + Improve member 's health literacy while simultaneously addressing health related social needs to… more
- Humana (Springfield, IL)
- …first** The Field Care Manager Registered Nurse (RN) assesses and evaluates member 's needs and requirements to achieve and/or maintain optimal wellness state by ... employs a variety of strategies, approaches, and techniques to manage a member 's physical, environmental, and psycho-social health issues. The Field Care Manager… more
