- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada, ... us on LinkedIn, Facebook, and Twitter. The Job The Annual Readiness Program Manager is responsible for leading and executing the organization's readiness strategy to… more
- Kaiser Permanente (Oakland, CA)
- Overview: The Prospective Risk Adjustment Operations team is seeking a Program Manager to lead the planning, execution, and oversight of strategic initiatives that ... support prospective Medicare risk adjustment efforts. This pivotal role will be...deliverables, and ensuring alignment with organizational goals. The Program Manager will play a key role in developing and… more
- MTN WST (Grand Junction, CO)
- …great team member to join our Grand Junction office. We're hiring an Account Manager - Individual Health & Medicare to support our Employee Benefits division. ... and growing agency that values teamwork, client service, and long -term success. Our Grand Junction Employee Benefits team is...development-we'd love to talk. As an Individual Health and Medicare Account Manager , you will effectively manage… more
- Axsome Therapeutics (New York, NY)
- …City. About This Role Axsome Therapeutics is seeking a Field Reimbursement Manager (FRM) to collaborate with internal and external stakeholders to eliminate access ... and reimbursement challenges for Axsome's migraine product. The Field Reimbursement Manager will have responsibilities at a territory level and exhibit business… more
- Lundbeck (Waco, TX)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio,...used in analyzing data to develop both short- and long -term goals aligned with business objectives. Must live within… more
- NYC Health Hospitals (New York, NY)
- …processing, and financial counseling for residents and families. The Patient Accounts Manager is also responsible for ensuring regulatory compliance , improving ... space. It provides 24-hour care for individuals in need of sub-acute care, long -term care or hospice care which include services like physical therapy, occupational… more
- MorseLife Health Systems (West Palm Beach, FL)
- …include Policy and Regulatory Manager and Quality Associate *Oversee Part-D regulatory compliance as well as Medicare Fraud, Waste, and Abuse *Completion of ... Job description Quality and Compliance Director is responsible for directing, evaluating, and...the laws, standards, and regulations that apply to PACE, Medicare , Medicaid, managed care, and long -term care… more
- BridgeWay Home Health (Marietta, GA)
- …for the review of the individual patient medical record/Plan of Care for compliance with Medicare , Medicaid and Managed Care regulations and company policies, ... RN Clinical Manager - Home Health - Full Time OASIS...Drug Plan Telehealth Dental Vision Voluntary Short-Term Disability Voluntary Long -Term Disability Life 401k Paid Time Off Employee Referral… more
- Care and Help Home Care (Philadelphia, PA)
- …non-skilled and non-medical services for seniors. Job Summary: The Sales Case Manager drives business growth and revenue by building and maintaining relationships ... conducts assessments, and guides clients through the enrollment process. The Sales Case Manager acts as a liaison between the agency and clients, ensuring a smooth… more
- GODDARD RIVERSIDE COMMUNITY CENTER (New York, NY)
- …services include: assistance with applications and recertifications for benefits, including Medicare , Medicaid, long term care, SNAP, HEAP, accessing Food ... and activities reflect their needs and interests. Position Summary: The Case Manager provides individualized services to enable seniors to live independently. The… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... enhancements of existing products and technical solutions based on short-term and long -term needs. Lead end to end project implementation for business needs.… more
- CenterWell Primary Care (Duluth, GA)
- …third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. Coordinates communication between team ... branch is referred to as our Gwinnett, GA branch. The RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel.… more
- Kaiser Permanente (Salem, OR)
- …and implementing plans of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians and other ... while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing,… more
- GODDARD RIVERSIDE COMMUNITY CENTER (New York, NY)
- …services include: assistance with applications and recertifications for benefits, including Medicare , Medicaid, long term care, SNAP, HEAP, accessing Food ... provided by on-site Goddard Riverside staff. Position Summary: The NORC Case Manager provides individualized services to enable seniors to live independently. The… more
- ViiV Healthcare (Los Angeles, CA)
- …results-driven professional in Specialty Sales for the position of Territory Account Manager (TAM) on the long -acting HIV Injectable Treatment Sales team. ... foster external relationships with key influential customers and thought leaders Compliance , Accountabilities, and Values Based Culture Act in ways consistent with… more
- Texas Workforce Commission (Austin, TX)
- …Texas Workforce Commission - Vocational Rehabilitation Division (TWC-VRD) is seeking a Long Term Services and Supports Program Specialist VI to join the Vocational ... relocate to Texas. About the Role TWC-VRD seeks a Long Term Services and Supports Program Specialist VI (PSVI)...The PSVI reports to the VR Specialized Services Support Manager and uses independent judgment to improve employment outcomes… more
- HEALTH FIRST CAREERS (Palm Bay, FL)
- …consistent with evidence-based standards. Serves as a case management resource expert for compliance with Medicare IM letter, 3008, 1823 PASSR, and DCF mandatory ... Job Requirements POSITION SUMMARY: The RN Case Manager is fully engaged in providing quality/no harm,...time involves sitting or standing; occasional walking, bending, stooping. Long periods of computer time or at workstation. Light… more
- Atlantic Health System (Morristown, NJ)
- …promoting and restoring patient's health by developing day-to-day management and long -term planning of the patient care, directing and developing staff, ... safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in… more
- The Centers for Advanced Orthopaedics (Washington, DC)
- …as staffing at another CAO location. Administers treatment in accordance with all compliance regulations as dictated by federal and state governing bodies and in ... of CPT & ICD-10 coding procedures. Thorough knowledge of Medicare and third-party billing. Thorough knowledge of Workers Compensation...language. Physical Demands Must be able to sit for long periods of time and lift up to 50… more
- City of Coronado, CA (Coronado, CA)
- …include wastewater, storm drain, street sweeping operations and related regulatory compliance programs and activities; to coordinate assigned activities with other ... to provide highly responsible and complex administrative support to the Utility Manager . The following tasks are typical for positions in this classification. Any… more
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