- 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
- 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, ... of admission to the community and/or transition to the Medicaid Waiver Program Ensures annual and quarterly...LSW - must have a current Ohio license with 3 to 5 years' experience Prior work experience with… 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
- 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
- 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
- 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
- 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
- UMass Memorial Health (Worcester, MA)
- …with the clinical leadership and staff as well as other key departments. 3 . Responsible for the billing operational workflows/issues in EPIC (preauth, denials, etc.) ... operational issues pertaining to business and financial operations. Serves as project manager as needed. 11. Assures that the Department of Transfusion Medicine is… 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
- OhioGuidestone (Cleveland, OH)
- …in social work, public health, psychology, or related field (Master's preferred) 3 + years' experience in quality assurance, program evaluation, or clinical ... including participation in site visits and documentation audits. Ensure services meet Medicaid and contract requirements. Collect, analyze and report data related to… more
- Baton Rouge General (Baton Rouge, LA)
- …and advocacy abilities with a track record of team support and development Minimum 3 years of hospital utilization review experience preferred At least 1 year of ... Participation Familiarity with reimbursement models (Commercial, Managed Care, Medicare, Medicaid ) Solid understanding of healthcare law, clinical trajectories, and… more
- ADVANCE CARE ALLIANCE OF NY INC (New York, NY)
- …Job Category Nonprofit - Social Services Description Position Summary The Care Manager provides services within the Care Management programs, including Health Home ... Willowbrook Class Members. The core responsibility of the Care Manager is to oversee and coordinate access to services...live a meaningful and quality life. ACA/NY is a 501(c)( 3 ) not for profit organization that has been designated… more
- Cole Health (Schertz, TX)
- …guidelines. Other Responsibilities That May Be Assigned 1. Advertising Attendance Reward Program . 2. Rescheduling client appointments as make-ups. 3 . Assemble ... Saturdays may be available; may be able to increase hours within next 3 -6 months REQUIREMENT: Bilingual English/Spanish Location: 6051 FM 3009, Suite #215 Schertz,… more
- NewVista Behavioral Health (Akron, OH)
- Job Address: 1211 W Market StreetAkron, OH 44313 CDCA Case Manager Shift: Monday - Friday Hours: 9:00am - 5:00pm Perks at Work: Healthcare : Medical Packages with Rx ... - 3 Choices Flexible Spending Accounts (FSA) Dependent Day Care...Spending Accounts (HSA) with a company match Dental Care Program - 2 choices Vision Plan Life Insurance Options… more
- Advocate Aurora Health (Charlotte, NC)
- …patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, plans, coordinates, and evaluates services of patients with ... on five primary areas: 1) population management, 2) patient self-management support, 3 ) transitions in care, 4) resource connection, and 5) appropriate resource… more
- CVS Health (Englewood, NJ)
- …for eligible external candidates who possess NJ Choice Certification Remote RN Case Manager - Bergen County, NJ (50-75% Field Travel) Schedule: Monday-Friday | 8:00 ... community? Join our dedicated team as a Remote Case Manager , where you'll play a vital role in...Fort Lee) Active, unrestricted RN license in New Jersey 3 + years of clinical experience (hospital, home health, or… more
- MASS (Boston, MA)
- MassHealth, the Massachusetts Medicaid agency, is seeking an A ssociate Finance Manager to join the Finance team. Managing $19B in state and federal funds ... decision-making, and strategic planning. Working cross-functionally with finance and program staff, the manager will facilitate collaborative problem-solving… more
- Care Lync (Ambler, PA)
- …Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program . Our Support Coordinators work with adults to help ... environment. General Summary The Support Coordinator / Service Coordinator / Case Manager provides case management activities necessary to meet the needs of clients… more
- Molina Healthcare (Long Beach, CA)
- …LVN or Licensed Behavioral Health professional in Texas to join Molina as a Case Manager working with our Medicaid members in the service delivery area of San ... an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology,… more
- Enterprise Management (Baltimore, MD)
- …#1 Lighthouse Behavioral Health Center FOCUS #2 Community Wellness Psychiatric Rehabilitation Program FOCUS # 3 HolBrock Estates Supportive Housing Programs You ... property access and maintenance needs, and ensuring daily operations align with program expectations. ALTERNATE TITLE(S): House Manager COMPANY: HolBrock Estates… more
