- EGA Associates (Albany, NY)
- …Type:** Local **Position Urgency** Normal **Offering** Nursing **Profession** RN **Specialty** Case Manager **Job ID** 17430566 **Shift Details** **Shifts Per ... a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program, the voluntary foster care… more
- Centers for Independence (Milwaukee, WI)
- **IRIS Consultant/ Case Manager - Lacrosse, WI** **Job Details** **Job Location** CFI Main Campus - Milwaukee, WI **Position Type** Part Time **Education Level** ... with participants in maintaining financial eligibility by keeping record of when Medicaid reviews are due and by assisting participants in completing forms, making… more
- Mom's Meals (Ankeny, IA)
- …clinical background, such as registered dietitian, licensed social worker or nursing case manager , with customer relationship experience will be strongly ... with partners, product or project teams, clinical and operational teams and field-based case managers will be critical for the Manager of Healthcare Partnerships… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Commonwealth Care Alliance (Boston, MA)
- …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …the Program Manager , this position is responsible for providing comprehensive case management and transition services to youth with chronic conditions in the ... within our Navigation Hub. The Navigation Hub is accountable for providing individualized case management support to referred patients and families. This case … more
- Cordis (Trenton, NJ)
- …and works in partnership with the Territory Manager and Associate Territory Manager to achieve daily sales objectives through case support and product ... Responsible for direct revenue generation (transactional Business) through direct case support. ?Reports to National Clinical Sales Director.? **Responsibilities** +… more
- 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 (Tarrytown, 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
