• Henry Ford Health System (Troy, MI)
    …of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. ... now hiring passionate & dedicated RN or Social Worker Case Managers to join a new Henry Ford Health...with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered… more
    Upward (07/19/25)
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  • Professional Staffing Group (Hingham, MA)
    Grievance Coordinator - Medicare (remote MA only) Some need-to-know information: Remote but with on-site Training in Hingham, MA Per company policy, only candidates ... This role focuses on responding to member concerns related to Medicare Advantage plans, balancing accurate documentation with clear, compassionate communication.… more
    Upward (07/11/25)
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  • Chimes (Exton, PA)
    …benefits of our innovative, responsive solutions. Job Description: The Blended Case Manager Supervisor has responsibility for the day-to-day functioning of his/her ... client recovery. Schedule: Full-Time Location: Exton, PA Program: Mental Health Case Management Salary: $53,000+/year Job Duties: Manage all psycho-social services… more
    Upward (07/26/25)
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  • Omega Law Group PC (Beverly Hills, CA)
    …www.omegalaw.com. Position Overview We are excited to announce entry-level openings for Case Manager Assistants to join our dedicated team. In this role, you ... will play a vital role in supporting our case managers and attorneys in delivering exceptional legal services. If you are detail-oriented, have strong organizational… more
    Upward (07/21/25)
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  • Athens Health and Rehabilitation LLC (Huntsville, AL)
    …providing rehab services at the highest practicable level for each resident. Provides case management services for certain high-risk Medicare Part A residents to ... Regional Case Manager - Covers facilities in North Alabama...Company policy and procedure Directs the MDS assessment and Medicare related activities of the assigned facilities, ensuring accurate… more
    Upward (07/18/25)
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  • GODDARD RIVERSIDE COMMUNITY CENTER (New York, NY)
    …residents age 60+. Comprehensive services include social work/ case assistance/management services, health promotion services, recreational/educational/social group ... provided by on-site Goddard Riverside staff. Position Summary: The NORC Case Manager provides individualized services to enable seniors to live independently.… more
    Upward (07/17/25)
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  • Touchstone Communities (San Antonio, TX)
    …Do: Lead the MDS process to ensure accurate and timely assessments for Medicare , Medicaid, and case management reimbursement. Work closely with clinical and ... RN license (or valid Compact State RN license). Strong understanding of the Medicare , Medicaid, and case management reimbursement system . Experience in Skilled… more
    Upward (07/23/25)
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  • CenCal Health (Santa Barbara, CA)
    …in the practice of medicine 3-5 years of experience doing Medi-Cal and Medicare Utilization Management/ Case Management for a health plan, IPA, or other ... those related to NCQA certification and implementation of the Medicare D-SNP line of business Qualifications Knowledge/Skills/Abilities Required: In-depth knowledge… more
    Upward (07/11/25)
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  • Trilogy (Chicago, IL)
    …75% of all community support services in the community. He/she/they will complete case management tasks with clients within a shared caseload. The Recovery Counselor ... entitlements; ie Supplemental Security Income, Social Security Disability Insurance, Medicare , Medicaid, and LINK Understand the representative payeeship process per… more
    Upward (07/20/25)
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  • CommuniCare Family of Companies (Keyser, WV)
    …timely completion of mds assessments and coordination of the RAI process. Provides Medicare , Medicaid ( case mix), and managed care oversight to ensure ... long term care environment preferred Experience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIES The MDS Nurse RAC (Resident Assessment… more
    Upward (07/18/25)
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  • Sepulveda Sanchez Law (Los Angeles, CA)
    …personal injury law firm based in California, and we are seeking a self-motivated Pre-Litigation Case Manager to join our team. As a Case Manager, you will ... ensure the smooth running of the office and effective case management. You will provide a broad spectrum of legal services under the supervision of an attorney. If… more
    Upward (07/03/25)
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  • Bluestone Physician Services (Minneapolis, MN)
    …the best performing ACO in the country as measured by the overall savings per Medicare beneficiary. Position Overview : As a GUIDE Model Dementia Case Manager , ... Licensed Social Worker or Registered Nurse 3-5 years of experience in case /care management or care coordination Experience working directly with the Dementia… more
    Upward (07/26/25)
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  • HCA Healthcare (Pasadena, TX)
    …want to join an organization that invests in you as a(an) Registered Nurse Case Manager Rehab? At HCA Houston Healthcare Southeast, you come first. HCA Healthcare ... have the opportunity to make a difference. We are looking for a dedicated Registered Nurse Case Manager Rehab like you to be a part of our team. Job Summary and… more
    Upward (07/23/25)
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  • UnitedHealth Group (Kansas City, MO)
    …patients across care settings. Join us to start Caring. Connecting. Growing together. Field Case Manager RN in the Optum at Home program work with patients primarily ... Primary Care Provider and other providers, and other professionals. The Field Case Manager RN supports the overall patient care management process for members… more
    Upward (07/22/25)
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  • Kaiser Permanente (Decatur, GA)
    …and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, ... related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions… more
    Upward (07/16/25)
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  • Caresense Home Health (Montgomeryville, PA)
    …paced environment *Knowledgeable and skilled in OASIS, ICD-10 coding, clinical and case management, and Medicare conditions of participation *Knowledgeable and ... projects *Establish and develop Company policies and procedures *Assist with Medicare and Medicaid related tasks *Building and retaining relationships with referral… more
    Upward (06/26/25)
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  • HCA Healthcare (Ocala, FL)
    …and integrity. We care like family! Jump-start your career as a(an) Lead Case Manager today with HCA Florida Ocala Hospital. Benefits HCA Florida Ocala Hospital, ... by location. Come join our team as a Lead Case Manager. We care for our community! Just last...continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
    Upward (07/17/25)
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  • Salt River Pima-Maricopa Indian Community (Scottsdale, AZ)
    …Position Summary : Under the general supervision of the Transition Ambulatory Case Management RN Supervisor (TACMRNS), the Transition Care Management RN (TCM RN) ... positions in this classification. Examples of Tasks Transitional RN Case Management: Oversees the care of a patient as...Americans including, but not limited to, Indian Health Service, Medicare , Medicaid, ALTCS, SSI, etc. Strong verbal and written… more
    Upward (07/20/25)
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  • Integritus Healthcar (East Longmeadow, MA)
    …skilled nursing and rehabilitation, hospice and senior living solutions. As a Medicare Certified Home Health agency, the Integrihome providers offer expertise and ... established Standards of Nursing Practice and Home Health procedures. The RN Case manager will: Assesses patient/family learning needs, style and limitations and… more
    Upward (07/21/25)
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  • HealthCare Partners (Garden City, NY)
    …specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 200+ skilled professionals dedicated ... successful Garden City Team? We are currently seeking a Case Manager! Position Summary : The role of the...Manager! Position Summary : The role of the Nurse Case Manager is to engage members enrolled in … more
    Upward (07/04/25)
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