- Pacer Staffing (Atlanta, GA)
- …to quality care in a cost-effective manner. Coordinates with the Primary Care Manager (PCM) or specialty health providers for information and input into ... high risk factors indicating appropriateness for complex case management services from a non -ECHO case manager . Maintains knowledge of and compliance with URAC… more
- Pace of Southwest Michigan (St. Joseph, MI)
- …building relationships with our participants and their caregivers in a team-focused care environment. The Case Manager (MSW) is responsible for coordinating ... Description:PACE of Southwest Michigan is currently seeking a full-time Case Manager (MSW) to join our Social Work team. We are looking for a dynamic individual who… more
- Volunteers of America Mid-States (Elizabethtown, KY)
- POSITION TITLE: Targeted Case Manager LOCATION: Elizabethtown, KY STATUS: Full Time, Salaried, Exempt PROGRAM: Addiction Recovery Services REPORTS TO: Clinical ... Coordinator INTRODUCTION: Volunteers of America Mid-States (VOA) is a non -profit organization spanning four states that creates positive change in the lives of… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- … from a cost effectiveness perspective and utilizing hospice philosophy of care . Understands hospice Medicare/ Medicaid /payor benefits and delivers care ... About the Role:Job SummaryResponsible for the delivery of patient care in accordance with acceptable standards of care...and asking for help.seek and accept feedback in a non -defensive manner.forgive others and give the benefit of the… more
- Senior Living Communities (Winston-Salem, NC)
- …Medicare or Medicaid certified) and provide private duty skilled and non -skilled services for the senior/elderly population. This position reports to the CSM ... (Client Services Manager ). POSITION SUMMARY: Provides hands on resident care , proper and timely administration of medications and treatments, accurate verbal and… more
- Reach Out and Read (Atlanta, GA)
- …program among medical providers and staff. This role reports to the Northeast Program Manager . The Regional Program Specialist serves as a member of the Reach Out ... to prioritize and expand programs in clinics serving high BIPOC and/or Medicaid populations in alignment with organizational goals. Guide new programs through the… more
- Volunteers of America Mid-States (Somerset, KY)
- …Time, Salaried, Exempt PROGRAM: Addiction Recovery Services REPORTS TO: Program Manager - Family Connections INTRODUCTION: Volunteers of America Mid-States (VOA) is ... a non -profit organization spanning four states that creates positive change...housing for families, veterans, and low-income seniors. We provide care and support for individuals with developmental disabilities, healing… more
- 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
- 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 (Richmond, VA)
- …We are looking for candidates who live in the Northern region of Virginia. Case Manager will work in remote and field setting supporting our Medicaid Population. ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Director of Technology Modernization, Medicaid Programs Durational Project Manager Recruitment # 240801-0415VR-001 Location Hartford, CT Date Opened 8/7/2024 ... + + Introduction Unique Opportunity: Director of Technology Modernization, Medicaid Programs - Durational Project Manager (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=0415VR&R1=&R3=)… more
- 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
- Elevance Health (Columbus, OH)
- …experience. **Preferred Qualifications:** + Utilization Management/Review experience within managed care or hospital/provider setting. + Medicaid experience ... Nurse Utilization / Medical Management I - Medicaid (JR129062) **Location:** Candidates must reside within 50 miles or 1-hour commute each way of one of our relevant… more
- 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
- CVS Health (Atlanta, GA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **_At Aetna Better...This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting,… more
- Priority Health Care (Marrero, LA)
- …mentors, and leads customer service excellence. + Communicates consistently with Clinic Care Manager and other providers on operational and oversight issues. ... paperwork in a timely manner (log sheets, CERV, ISPs, case openings/closings/transfers, Medicaid forms, etc.) + Adheres to office protocol. (Sign in/out sheets, work… more
- 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
- AdventHealth (Maitland, FL)
- …share and receive key information relating to reimbursement interpretation for managed care , government and non -contracted products. Provides expert guidance to ... Regional Directors and Managed Care staff in reference to technical system and application...management systems with a concentration on Medicare, state specific Medicaid , non -contracted payers, and Tricare. * Demonstrates… more
- ACI Federal (Petersburg, VA)
- …team for unparalleled solutions in healthcare transformation. Description Provides linkage to care and non -medical case management services to individuals who ... within established timeframes for submission to ensure uninterrupted client services. DUTIES: Non -Medical Case Management and Linkage to Care : Contact patients… more
- Humana (Baraboo, WI)
- …persons with older adults in a health care setting. + Case Manager Certification + General knowledge of Medicaid and Medicare benefits. **Additional ... us put health first** Humana/iCare is seeking an RN Care Manager to join the Dane County...associates performing their core duties at one or more non -Humana/iCare locations. + **Location:** must reside in Dane County,… more
