• Brunswick County, NC (Bolivia, NC)
    … Specialist is a member of the Medicaid team and reports to the Medicaid Program Manager . The IMC III completes second-party reviews, report management, ... the agency is meeting quality and timeliness standards within the Adult Medicaid program units. Job responsibilities include: Conduct second-party case reviews.… more
    Upward (06/30/25)
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  • 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
    Upward (07/21/25)
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  • Novo Nordisk Inc. (Traverse City, MI)
    …current co-promotion partners. Internally, the DCS report to the District Business Manager of the specific sales territory. The DCS also interact and collaborates ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more
    HireLifeScience (07/17/25)
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  • Vivian (Lorton, VA)
    Gentiva is seeking a Registered Nurse (RN) Manager , Hospice for a nursing job in Lorton, Virginia.Job Description & RequirementsSpecialty: HospiceDiscipline: ... Type: Staff Overview: We're looking for a Patient Care Manager / Clinical Manager RN to join...will be responsible for maintaining a high performing hospice program including managing, overseeing, and directing patient care activities… more
    Talent (07/22/25)
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  • 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
    Upward (07/21/25)
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  • Vivian (Lubbock, TX)
    Gentiva is seeking a Registered Nurse (RN) Manager for a nursing job in Lubbock, Texas.Job Description & RequirementsSpecialty: ManagerDiscipline: RNDuration: ... OngoingEmployment Type: Staff Overview: We're looking for a Patient Care Manager Senior to join our team. You will report directly to the Executive Director or… more
    Talent (07/01/25)
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  • Avita Community Partners (Blairsville, GA)
    This position carries out the services of the IPS Supported Employment program by assisting clients to obtain and maintain employment that is consistent with their ... clients in obtaining information about their benefits (eg, SSI, Medicaid , etc.) and how they will be affected by...needs of the business, describe supports offered by the program and describe client strengths that are relevant to… more
    Upward (07/21/25)
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  • Vivian (Bowling Green, OH)
    …relationships with supportive care team (eg, Social Worker and RN Care Manager ), as applicable, and involve team (internally and externally) when patient's care ... patient may be appropriate for home health or hospice care; Medicare/ Medicaid regulations; and interdisciplinary process; value based and/or accountable organization… more
    Talent (07/17/25)
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  • 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
    Upward (07/21/25)
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  • Trilogy (Chicago, IL)
    …- Friday; 8:00 am - 4:30 pm Location: Chatham The Reentry Program prevents individuals recently released from Illinois Department of Corrections (IDOC) facilities ... and intensive wrap-around supportive services with Trilogy. The Reentry Program will provide permanent supportive housing for individuals recently released… more
    Upward (07/14/25)
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  • Mental Health Association in Orange County, Inc. (Newburgh, NY)
    Title: Supported Housing Program Case Manager Reports to: Supportive Housing Program Supervisor Job Objectives: Coordinate and provide support services to ... individuals enrolled in MHA's Supported Housing Program . Coordinate and provide case management and support services,...be clear and maintain an acceptable record under the Medicaid Fraud & Abuse clearance process. *Mental Health Association… more
    Upward (07/18/25)
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  • SCO Family of Services (Huntington Station, NY)
    …of the Plan of Care (POC). Through the development of the POC the Care Manager is able to: o Coordinate the member's provision of services, including providing Care ... to gain health care services, including but not limited to: 1. Medicaid 2. Cash Assistance Eligibility 3. Social Security 4. Supplemental Nutrition Assistance… more
    Upward (07/14/25)
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  • Colorado Coalition for the Homeless (Denver, CO)
    …transportation. Perform additional duties deemed necessary and appropriate by the Program Manager . Qualifications Summary Sound critical thinking and ... in the Housing First and Assertive Community Treatment (ACT) services program . Services are based on motivational interviewing, stages of change, strengths-based… more
    Upward (07/13/25)
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  • Inizio Engage (New York, NY)
    The Field Reimbursement Manager ("TAM") will be responsible for educating healthcare providers (HCPs) and their staff on product-specific prior authorization and ... that may benefit from further education. The Field Reimbursement Manager will be a key member of both the...core classes of trade: Commercial Managed Care (Regional Plans) Medicaid (Fee for Service, Managed Care Organizations) Medicare (Part… more
    Upward (07/19/25)
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  • Children's Home Society of Florida (Orlando, FL)
    …create history serving Florida's children and families! As a Targeted Case Manager assesses client and family needs and coordinates provision of necessary services ... and/or treatment. Overall, the Targeted Case Manager contributes to the CHS high performance culture by exhibiting our values and providing quality results that keep… more
    Upward (07/19/25)
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  • Valley Behavioral Health (Salt Lake City, UT)
    …obtain certification within the first 90 days and pay will be increased Certified Case Manager range starts at $19.61 - Certified CM pay is calculated based on years ... - $2000 for Full-Time - $1,000 for Part-Time Schedule: Sunday-Wednesday, 2pm-12am Program : EPIC Benefits Highlights On-Demand Pay allows access to a portion of… more
    Upward (07/17/25)
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  • Johnson and Johnson (Chicago, IL)
    …Customer Solutions (PECS) team is recruiting for a Local Account Field Reimbursement Manager for the Great Plains territory which is a field-based position. The ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    Upward (07/06/25)
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  • In Compass Health (Alpharetta, GA)
    …hospital services rendered to patients Facilitate communication between on site program coordinators, ICH central billing office personnel and other departments ... Fee Services Understand managed care and insurance contractual arrangements Medicare, Medicaid and Managed Care Experience in Multiple States Experience with… more
    Upward (07/13/25)
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  • The Columbus Organization (Randolph, 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
    Upward (07/12/25)
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  • County of Los Angeles, CA (Los Angeles, CA)
    …of Mental Health is seeking qualified candidates to fill emergency Mental Health Program Manager I vacancies related to the homelessness crisis. Under the ... pass the assessment will be considered for permanent appointment to Mental Health Program Manager I. Essential Job Functions Performs the full range of… more
    Upward (07/03/25)
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