- UnitedHealthcare (Wichita, KS)
- …intervention Complex cases will have additional oversight by masters level case manager , including review of assessments and care plans What are the reasons ... it all together - competitive base pay, a full and comprehensive benefit program , performance rewards, and a management team who demonstrates their commitment to… more
- Wallick Communities (New Albany, OH)
- …position. Preference will be given to candidates with substantial experience in the Medicaid Waiver program and familiarity with the Ohio Department of Aging, ... 48 hours of admission to the community and/or transition to the Medicaid Waiver Program Ensures annual and quarterly assessments are completed timely for all of… more
- TrackFive (Anchorage, AK)
- …Joint Commission, Occupational Safety and Health Administration (OSHA), Centers for Medicaid / Medicare Services (CMS), Centers for Disease Control and Prevention ... and implementing a comprehensive consortium-wide infection prevention and control program . Sets goals based on risk assessments, evidence-based practices,… more
- Elevance Health (Indianapolis, IN)
- Anticipated End Date: 2025-07-31 Position Title: RFP Development Director, Medicaid Clinical Strategies Job Description: The Medicaid Growth Office is looking to ... to align to our Clinical Strategies and Solutions for all new and renewing Medicaid state RFPs. This RFP Development Director is a pivotal role designed to lead… more
- UnitedHealthcare (Graham, NC)
- …experience to make health care work better for our members. In this RN Care Manager role, will be an essential element of an Integrated Care Model by relaying the ... together competitive base pay, a full and comprehensive benefit program , performance rewards, and a management team who demonstrates...travel up to 50% of your time to visit Medicaid members in their homes and/or other settings, including… more
- Health eCareers (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Milliman l criteria,… more
- UnitedHealthcare (Grapevine, TX)
- …are fully represented and supported by the health care team Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, ... Put it all together competitive base pay, a full and comprehensive benefit program , performance rewards, and a management team who demonstrates their commitment to… more
- Tiger Analytics (Chicago, IL)
- …clients and business SMEs to analyze pain points in the Medicare and Medicaid processes (with greater focus on claims management) and provide detailed information on ... solution accurately reflects the complexities and nuances of Medicare and Medicaid domain (specifically focused on claims management), when developing products,… more
- Molina Healthcare (Long Beach, CA)
- …have a current active unrestricted license in the state of KY Case Manager will work remotely supporting Medicaid Behavioral health population. Excellent ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. Job… more
- INSPIRITUS INC (Nashville, TN)
- …Job Category Nonprofit - Social Services Description Intensive Case Manager Classification: Non-Exempt Salary Grade/Level/Family/Range: $40,000 - $45,000 Reports to: ... Client Services Manager Date: 1/14/25...the US for less than 5 years. The ICM program fosters the successful and integration of especially vulnerable… more
- The Blossoms at Midtown Rehab and Nursing Center (Little Rock, AR)
- …Exciting Benefits! Under the direction of the Administrator, the Business Office Manager manages all business functions and personnel including but not limited to ... payable, resident trust funds and other assigned duties. The Business Office Manager ensures the financial systems are accurate, efficient, and in accordance with… more
- Contra Costa County, CA (Martinez, CA)
- …The Contra Costa Health Department is seeking to fill one (1) Utilization Review Manager position in Contra Costa Health Plan, located in Martinez, CA. Contra Costa ... business. We are seeking a strategic, experienced, and collaborative Utilization Review Manager to lead our Utilization Management Department across all lines of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …to make a difference with. The opportunity The primary role of the Sr, Manager , Pricing & Reimbursement is to coordinate pricing activities and provide the related ... and approval process and coordinating state brand price transparency reporting. The Sr. Manager , Pricing is expected to be a subject matter expert on gross to… more
- Astor Services (Bronx, NY)
- …an average caseload of 30 children who meet eligibility of NYS Children's Health Home program . The Care Manager guides program enrollees and their caretakers ... care and support to help our clients thrive. Care Manager Description: The Care Manager for this...in the community to identify children eligible for the program . *Identifies areas requiring supportive services. *Maintains a valid… more
- Paris Health Care Center (Paris, IL)
- Long Term Care Assistant Business Office Manager Opportunity Paris Health and Rehab is looking for an Assistant Business Office Manager to join our growing team! ... The Assistant Business Office Manager is a key member of the Paris Health...improve the workflow processes. Your Job: Monitoring / processing Medicaid Pending applications. Prepares and submits applicable write-off requests… more
- The Columbus Organization (Williston, VT)
- Description Case Manager Full-Time Everyone has a story -a future YOU can help write. Be a part of the story by joining a leader and innovator in Case Management ... Buy-Up Option Accident/Hospital/Cancer Plans Professional Liability Insurance Health Advocacy Program Short/Long Term Disability 401k Retirement Savings Plan Flexible… more
- DFR (South Bend, IN)
- …receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid . The Eligibility Specialist staff are responsible for assisting in the ... and other financial / legal documents Review regulations and program requirements with clients Utilize automated program ...Spanish Highly organized and analytical team player Previous Case Manager experience is a plus Strong written and verbal… more
- MetroPlusHealth (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 ... proud of what you do every day. The Project Manager III (PM3) is a senior-level role responsible for...stakeholders at all levels to oversee the execution of project/ program goals as well as measure and communicate overall… more
- State of New Mexico (Albuquerque, NM)
- …Individuals served by the Health Care Authority Developmental Disabilities Supports Division Medicaid Waiver program . .: Ideal Candidate The ideal candidate has: ... and wellness. Why does the job exist? The Staff Manager /Pre-Service Manager will: Provide Pre Services to...disabilities (IDD) served by the Developmental Disabilities and Supports Medicaid Waiver. How does it get done? The Staff… more
- UMass Memorial Health (Worcester, MA)
- …operational issues pertaining to business and financial operations. Serves as project manager as needed. 11. Assures that the Department of Transfusion Medicine is ... Food Drug Administration, Clinical Laboratory Improvement Act of 1988, OSHA Medicare/ Medicaid , Joint Commission, American Association of Blood Banks and the College… more
