- CDPHP (Latham, NY)
- …be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care of CDPHP ... In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating requests for prior authorization… more
- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join ... medically complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members,… more
- Lakeview Health Services (Geneva, NY)
- …lives? Join our Team! EMPLOYMENT OPPORTUNITY $2,500 SIGN-ON BONUS Title : Seneca County Non- Medicaid Case Manager Job Requisition No.: 1768 Program : Care ... Overview With the general oversight of the CSS Program Manager , works from a trauma informed care perspective to...support, advocacy, linkage, and coordination of services in a case management program for adults and children/youth with mental… more
- CVS Health (Baton Rouge, LA)
- …integrated model + Medicaid experience + Waiver experience + Certified Case Manager (CCM) certification + Familiarity with QuickBase **Education** + ... treatment facilities, hospitals, group homes, shelters, and community facilities. The Case Manager RN (CM RN) is responsible for telephonically and/or face to… more
- Iowa Department of Administrative Services (Spencer, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... challenges and access resources that promote long-term stability Every case you take on is a chance to make...apply Iowa Code and agency policies to determine appropriate case outcomes + Apply analytical reasoning to complex casework… more
- Iowa Department of Administrative Services (Council Bluffs, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... provide good written documentation in a timely manner + The ability to develop case plans, use critical thinking skills, prioritize work and work under pressure +… more
- Iowa Department of Administrative Services (Cherokee, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... the mental health system in Iowa is preferred. This position requires extensive case management skills. The successful candidate will need skills in assessment of… more
- Iowa Department of Administrative Services (Marshalltown, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... . Additional Qualification Requirements For designated positions in case management, the appointing authority may request those applicants… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Provider Audits and Investigations Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : ... : 11/25/2025 + **Hiring Agency/Seniority Unit** : Human Services Dept / DHS Manager + **Division/Unit** : Department of Human Services (DHS) / Office of Inspector… more
- Elevance Health (Durham, NC)
- …may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid . May be responsible for ... **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Lifespan (Rochester, NY)
- …helping plan and maintain long-term financial security of clients. The case manager is responsible for processing Social Security, Medicaid and other benefit ... Case Manager -Financial Services Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description STATUS: Full-time (37.5… more
- University of Southern California (Alhambra, CA)
- In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care provided, as well… more
- NorthWest Senior & Disability Services (Salem, OR)
- …Services + Develop transition plan + Implement, monitor and adjust transition plan + Transition case to ongoing Case Manager + Support and promote Diversion ... (ADRC) concept + Facilitate confidence in Diversion and Transition Case Manager , and therefore the Agency and...Facilities which are closing and no longer operate under Medicaid to find alternate care + Carry enhanced care… more
- BayCare Health System (Winter Haven, FL)
- …responsibility and clinical excellence.BayCare Health Systems is currently seeking an experienced ** Case Manager ** to join our outstanding and compassionate team ... **Weekend Work** : No + **On Call:** No **The Case Manager is responsible for:** + ...Preferred for all case managers. + **Targeted Case Managers required to bill Medicaid .** **Benefits:**… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- + GENERAL SUMMARY + The Case Manager is responsible for coordinating the case management care plan to meet the individual/caregiver needs, promoting quality, ... to a safe discharge in a timely manner. The Case Manager is responsible for the facilitation...standards are in compliance with Centers for Medicare and Medicaid Services (CMS) standards. + Facilitates options and services… more
- Henry Ford Health System (Detroit, MI)
- The Case Manager Social Worker provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, integrated, ... and departmental policies and procedures. GENERAL SUMMARY: + The Case Manager is a member of the...guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. +… more
- Henry Ford Health System (Detroit, MI)
- …to offer. Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients,...discharge planning or transitional care + Knowledge of Medicare, Medicaid , and other insurance programs By joining our team… more
- Henry Ford Health System (Jackson, MI)
- $10,000 SIGN ON BONUS MOTHER BABY UNIT GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment ... and family's health care needs. The goals of the case manager are to promote patient safety,...guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge… more
- WestCare Foundation (Doral, FL)
- Case Manager Job Details Job Location 5605 NW 82ND Avenue - Doral, FL Position Type Full Time Education Level 4 Year Degree Salary Range $28.84 - $28.84 Hourly ... Description Position Summary: The Case Manager plays a vital role in...services and activities timely in accord with certification, licensing, Medicaid , accreditation standards and agency policy and procedure +… more