- 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
- St. Elizabeth's Medical Center (San Bernardino, CA)
- SUMMARY: Under the general supervision of the Program Manager , Medicaid Waiver, is responsible for Medicaid Waiver certification and consultation ... mission statement and core values, under the general direction of the Program Manager , Medicaid Waiver, provide nursing consultation and assessment services… more
- City of New York (New York, NY)
- …WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... the Assisted Living Program , Care at Home Program and Homebound Medicaid . The Medicaid...duties, housing office teller duties, purchasing agent, assistant store manager , sales representative responsible for accounts, or customer service… more
- Saber Healthcare Group (Monroeville, PA)
- Saber Healthcare Group seeks a Full-Time Field Medicaid Specialist, overseeing a handful of skilled nursing communities. Anyone with experience in skilled nursing ... Tuition opportunities to further your career! POSITION SUMMARY: The Field Medicaid Specialist supports and develops the Business Office staff of communities… more
- Molina Healthcare (Long Beach, CA)
- Job Description Job Description Job Summary The Payment Integrity Program Manager - Health Plan is a subject matter expert, individual contributor role designed ... 5 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...claims coding (CPT, ICD, HCPCS, Revenue Codes), and federal/state Medicaid payment rules. Skilled in Excel and SQL, with… more
- Tiger Analytics (Chicago, IL)
- …clients and business SMEs to analyze pain points in the Medicare and Medicaid processes (with greater focus on claims management) and provide detailed information on ... solution accurately reflects the complexities and nuances of Medicare and Medicaid domain (specifically focused on claims management), when developing products,… more
- Healthpro Heritage, LLC (Quincy, MA)
- …Living and DOR experience preferred Position Summary: The Rehab Director / Program Manager position provides the leadership, management and vision necessary ... of therapy programs and services to assess effectiveness and efficiency. Program Development & Growth Develop strategies to expand therapy programs, including… more
- Pair Team (Fresno, CA)
- …Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled ... Those Who Need It The Most TechCrunch: Building for Medicaid 's regulatory moment with Neil Batlivala from Pair Team...are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically… more
- 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
- CareStar, Inc. (Canton, OH)
- Case Manager - Stark & Surrounding Counties Company: CareStar, Inc. Location: Stark County, OH (and surrounding areas) Job Type: Full-Time | Remote with Field Visits ... about helping others live healthier, more independent lives. As a Case Manager , you'll work directly with individuals to assess their needs, develop personalized… more
- CVS Health (Hoboken, NJ)
- …in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to ... in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to… more
- ACI Health (Norfolk, VA)
- Job Title: Case Manager III / Support Coordinator III (ID Case Management) Job Summary: The Support Coordinator helps individuals with intellectual disabilities (ID) ... services they need to live independently in the community. Reports To: Program Administrator Supervision: None Work Conditions: Requires home and agency visits… more
- CareStar, Inc. (Caldwell, OH)
- Case Manager - Noble and surrounding counties. Ready to join a growing company whose work profoundly impacts people's lives in their community, who offers an ... alongside talented business leaders/professionals? CareStar, Inc. is currently seeking a Case Manager in the Specialized Recovery Services (SRS) and Ohio Home Care… more
- Kaiser Permanente (Glen Burnie, MD)
- …inappropriate utilization of medical services. In close collaboration with the nurse case manager and other members of the health care team, develops and monitors a ... in compliance with all organization and department standards. Analyzes patient and program outcomes to identify improvements in program , quality, and cost… more
- Innova solutions (Florham Park, NJ)
- Innova Solutions is immediately hiring a EDI Technical Delivery Manager Position type: Permanent Duration: Fulltime Location: New Jersey, US As a EDI Technical ... Delivery Manager , you will: Responsible for managing Healthcare Products and...999, etc.). Deep functional knowledge of Healthcare processes specially Medicaid Business. Aware of the Cloud native architecture along… more
- World Relief (Durham, NC)
- …WRD's clinical team and is responsible for continuous monitoring, evaluation and reporting of program outcomes. Up to half of the Manager 's time will be spent ... termination based on resource availability. POSITION SUMMARY: The Clinical Services Manager leads World Relief Durham's mental health initiative and collaborates… more
- Rockingham County, NH (Exeter, NH)
- …off, and discover the Rockingham County difference. SCOPE OF POSITION: The Case Manager is responsible for the daily operations of assessing the needs of inmates ... of corrections through the enforcement of facility policies and procedures. The Case Manager works under the general supervision of the Superintendent and the direct… more
- Marsh & McLennan Companies, Inc. (Chicago, IL)
- Company: Oliver Wyman Description: Job Title: Senior Manager - Actuarial Health Office/Regions available : Atlanta, Boston, Chicago, Dallas, Houston, Los Angeles, ... brand, and celebrating successes and rewarding performance. Job Description As a Senior Manager , you will work alongside and learn from Oliver Wyman's industry… more
- Care Lync (Falmouth, ME)
- …and Autism Spectrum Disorder who are enrolled in the Department of Human Services, Medicaid Waiver Program . Our Support Coordinators work with adults to help ... environment. General Summary The Support Coordinator / Service Coordinator / Case Manager provides case management activities necessary to meet the needs of clients… more
- Cascades at Riverwalk (Midvale, UT)
- …in Midvale, UT is actively looking to hire a full-time Business Office Manager /Billing Liaison. At Cascades at Riverwalk, our goal in a skilled nursing facility ... for the patient. Benefits: Complete medical/dental/vision insurance benefits Employer-matching 401k retirement program Up to 16 days' paid time off per year Company… more
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