- Aveanna Healthcare (Orlando, FL)
- …between staff, health care team members, and family. Serves as a resource consultant for clinical staff. Provide physicians and Aveanna with written evaluation of ... to practice in the state of practice Current CPR certification One (1) year of recent experience as a...care setting HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Public Consulting Group (FL)
- …personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of ... within a large organization Desired Skills/Experience * Experience with Federal Certification guidelines and processes, such as Outcomes Based Certification … more
- MyFlorida (Fort Lauderdale, FL)
- 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Date: Sep 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68064264 Salary: $1,864.08… more
- MyFlorida (Tallahassee, FL)
- 68039489 - GOVERNMENT OPERATIONS CONSULTANT I Date: Sep 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Health Care Administration Working Title: 68039489 - GOVERNMENT OPERATIONS CONSULTANT I Pay Plan: Career Service Position Number: 68039489...report to work daily and on time. The Florida Medicaid program is one of the five largest in… more
- Elevance Health (Winston Salem, NC)
- **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... responsible for utilization review case management for North Carolina Medicaid . May be responsible for developing and implementing programs...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- CVS Health (Hartford, CT)
- …, and predetermination of covered benefits in the commercial, Medicare, and Medicaid environment. This Wheelchair DME consultant provides subject matter ... Summary:** Aetna, a CVS Health company has an outstanding opportunity for a Wheelchair DME consultant . Ready to take your career to the next level with a Fortune 4… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...**Minimum Requirements:** + Requires MD or DO and Board certification approved by one of the following certifying boards… more
- Molina Healthcare (Mequon, WI)
- …community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled ... participants in their home and community. As an IRIS Consultant (IC), you will build relationships with the people...most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people… more
- City of New York (New York, NY)
- …with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and well-being ... one (1) City Medical Specialist (Per Diem) to function as a Medical Consultant who will: - Indirectly supervise contracted clinical staff, share policies and… more
- CenterWell (St. Paul, MN)
- …and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to complex issues ... other business functions to implement formulary and medical strategies for the Medicaid line of business. + Utilizes broad understanding of pharmacy, managed care,… more
- New York State Civil Service (Rochester, NY)
- …in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid /Medicare eligibility will result in the termination of ... care aspects for individuals in treatment.* Serve as a consultant to other nurses and direct care staff in...Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid /Medicare eligibility will result in… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …+ Current licensure (with the exception of CFY) within NY State + ASHA certification required + Applicants working in a school program must have a teaching ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- Penn Medicine (Lancaster, PA)
- …to nursing practice. + Fosters individual nurses professional development and growth. ** Consultant :** + Collaborates with all members of the health care team ... member, in a chair co-chair role, or as a consultant . + Partners with other regional and system CNS...issued by the PA Board of Nursing License + Certification as a Clinical Nurse Specialist from a National… more
- UPMC (Pittsburgh, PA)
- …and supplies. May act as liaison to outside vendors. + Act as a consultant to physicians in developing new strategic business opportunities and develop new outreach ... regulatory agencies or accrediting bodies (ie JCAHO, PA Department of Health, Medicaid ). + Work closely with Clinical, Administration and Information Services staff… more
- The Arc Erie County NY (Buffalo, NY)
- …license may be required for CFY candidates (directly billing Medicare). ASHA certification preferred. See our full Job Description listed below: Job Description Job ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- Molina Healthcare (Eau Claire, WI)
- …where you will partner with people in your community who use the TMG IRIS Consultant Agency. While this role is home-based, you will spend most days visiting IRIS ... Functional Screens (LTC-FS) for participants of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. The job… more
- City and County of San Francisco (San Francisco, CA)
- …and substance use treatment services. Duties Include + Experienced Specialist Representative/ Consultant of the specialty program or service including, but not ... cases, and institutes treatments as appropriate; serves as a consultant to physician specialists on difficult and complex cases....Board of California* AND + Possession of valid Board Certification in the appropriate medical specialty area for the… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …the job close date or by visiting your JobAps Personal Status Board ( Certification Questionnaires section). + Prepare For An Interview: Interviews are limited to ... medical records and compile documents for case presentations; + May provide pre- certification for and coordination of inmates admitted to and discharged from acute… more
- Aveanna Healthcare (Coatesville, PA)
- …between staff, health care team members, and family. + Serves as a resource consultant for clinical staff + Provide physicians and Aveanna with written evaluation of ... * Occupational Therapy Master's Degree from an accredited university/program * Certification in Occupational Therapy * Completion of accredited Occupational Therapy… more
- University of Colorado (Colorado Springs, CO)
- …the Lane Center clinic office manager to plan, document, certify, and bill Medicaid based on information and instructions from IIK and HCPF. + **Community awareness, ... interventions. + Works proactively with the IIK NFP nurse consultant to support NHVs, improve outcomes, and/or change processes...of up to 5 clients. + Maintains current BLS certification . This position is dependent on the availability of… more
