- buyer (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus ... come to work being proud of what you do every day.The Regulatory Guidance Manager is responsible for overseeing a team of analysts and ensuring regulatory compliance… more
- buyer (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus ... You can come to work being proud of what you do every day.The Care Manager , under the direction of the Vice President of Clinical Services, is primarily responsible… more
- Novo Nordisk Inc. (Lima, OH)
- …current co-promotion partners. Internally, the DCS I report to the District Business Manager of the specific sales territory. The DCS I also interact and ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more
- RELI GROUP INC (Baltimore, MD)
- …or safeguarding critical programs. Position Summary: RELI Group is seeking a highly skilled Program Manager to lead the execution of the Information Security and ... alignment with CMS risk management priorities, enterprise frameworks, and compliance requirements. The Program Manager will serve as the primary RELI point of… more
- PharmaCord (Cincinnati, OH)
- …reside in the state of Ohio. When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference in the lives of our patients each ... details of their medical records, your mastery of the program requirements, and ensuring their prescriptions or cases are...are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient… more
- LEL Home Services (Indianapolis, IN)
- Program Manager Reports to : Regional Director Setting : Remote (in community and at home office) Classification : Full-time; non-exempt Summary : A Program ... all Individuals, families, DSPs and members of the support team File compliance Qualifications Program Manager must have a Bachelor's degree in Human Services or… more
- Aveanna Healthcare (Milford, DE)
- Position Overview: The RN Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all clinical ... competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are...procedures.? ** This position has a 10% incentive bonus program ** Essential Job Functions: Plans, develops, and manages… more
- Aveanna Healthcare (La Crosse, WI)
- Participates in a 10% Incentive Bonus Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to ... orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered according to… more
- Aveanna Healthcare (Cedar Rapids, IA)
- $15,000 Sign On Bonus! Position Overview The Home Health RN Assistant Clinical Manager , will evaluate nursing activities to ensure patient care, staff relations, ... the unit and with ancillary departments. Oversee the Quality Program for the clinic and ensure that all standards...individual will serve as a backup to the Clinical Manager and will manage a caseload as needed for… more
- Vita Nova, Inc (West Palm Beach, FL)
- …Beach County's larger initiative for older youth called Securing Our Futures Initiative Program (SOFI) . The goal is to support youth in increasing their economic ... such as employment, income, education, transportation, and housing. The Case Manager will provide comprehensive supportive services to youth through career… more
- Permian Basin Community Centers for MHMR (Odessa, TX)
- Youth Mental Health Case Manager Job Number: 262 Location : Odessa Supervises : N FLSA : Non-Exempt Division : MH Salary: $20.65 per hour. Sign on bonus may be ... : office, field POSITION SUMMARY/JOB PURPOSE: The Youth Mental Health Case Manager provides evidence-based services to children and their families in maintaining or… more
- Coastal Bend Wellness Foundation (Corpus Christi, TX)
- Job Type Full-time Description Job Title: Behavioral Health Case Manager /QMHP Non-Exempt Reports to : Director of Behavioral Health Salary: $55,000 SUMMARY: Case ... treatment plan. Assist people receiving services and families to access benefits, including Medicaid , and enroll in programs or support that may benefit them. Work… more
- Aveanna Healthcare (Cedar Rapids, IA)
- …Position Overview The Admissions Registered Nurse (RN) works next to the Clinical Manager and/or Executive Director to initiate the start of care (Oasis) and ... catheter care, PICC line dressing changes etc. Why Join Our Team? Excellent training program with innovative technology to make your life easier Our clinical team is… more
- Accessia Health (Midlothian, VA)
- …health insurance related legislation Provide status updates in accordance with the program parameters Monitor cases on an ongoing basis and provide additional ... the respective data platform to check ongoing status of case management Provide program statistical data to the leadership team on an established basis Educate and… more
- HealthCare Support (Houston, TX)
- …open discussion. Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the designated referral and ... acute setting. 3 years of UR/UM Highlight lines of business worked- Texas Medicaid , CHIP, marketplace Highlight experience - was it inpatient or outpatient Microsoft… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager in Albany, NY** **Division of Data Services & ... Enterprise Data Governance (BEDG) is seeking a strategic, action-oriented Data Policy Program Manager to lead the development, documentation, communication, and… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & ... locations Statewide. The Bureau provides support and assistance in advancing critical program goals, projects and priorities related to eligibility and enrollment in… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy implementation. **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager , and Integrated Care Team in ... chance for professional growth!_** **50%** **Remote 50% Onsite** **Division of Program Development & Management (DPDM)** **Bureau of Adult Special Populations… more
- State of Minnesota (St. Paul, MN)
- …and Investigations Manager is responsible for providing oversight of Medicaid program integrity functions, including screening, audits, intake and ... **Working Title: Medicaid Compliance and Investigations Manager ** **Job...+ Minnesota Health Care Programs + Medical Assistance, Minnesota's Medicaid program . + Medicaid provider… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** Responsible for successful oversite and implementation of the Texas Medicaid Directed Payment Program (DPP) and internal business projects and ... and directs schedules as well as tracks and monitors program payments to ensure accuracy and audits for accuracy....+ Experience with Managed Care + Experience with TX Medicaid /CHIP and TX Directed Payment Programs (DPP). + Experience… more
