- Humana (Indianapolis, IN)
- …seeking a Manager, Care Coordination to lead teams of nurses and behavior health professionals responsible for care management. The Manager, Care Coordination works ... Manager, Care Coordination oversees the assessment and evaluation of member 's needs and requirements to achieve and maintain an...care for elderly or special needs populations, or in Medicaid and/or Medicare. + 2+ years of management or… more
- CVS Health (Raleigh, NC)
- …needs. * Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/ behavior changes to achieve optimum ... more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States....Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
- CVS Health (Jackson, MS)
- …needs. * Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/ behavior changes to achieve optimum ... more personal, convenient and affordable. This is a full-time remote role. Hours for this position are Monday-Friday 8:00am...Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
- CVS Health (Charleston, WV)
- …needs. * Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/ behavior changes to achieve optimum ... needs. * Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/ behavior changes to achieve optimum… more
- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS System ... of multiple systems: + QNXT, including claims, utilization management, benefits, contracts, member , call tracking, fees and code modules + Optum Claims Edit System… more
- Fallon Health (Worcester, MA)
- …care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. Today, guided by our mission of improving ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Mindoula Health (MO)
- …expectations for engagement, yielding desired outcomes. Location + This position is 100% remote . + This job operates in a remote professional environment free ... Performance Improvement (PI). + Collect and synthesize data that highlights member outcomes to support team training, improve high-quality engagement, deepen… more
- Somatus (Shelbyville, IN)
- …SIGN ON BONUS!** **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on ... care team meetings. + Act as the patient advocate and support the member through their patient journey starting with initial outreach. + Conduct telephonic outreach… more
- Trinity Health (Livonia, MI)
- …will include providing advice and counsel related to Medicare and Medicaid enrollment and reimbursement, Stark and Anti-Kickback, fraud and abuse matters, ... Trinity Health System Office and assigned Ministries as a member of the Trinity Health Legal Department and in...in a manner that reflects honest, ethical and professional behavior . **MINIMUM QUALIFICATIONS** Licensed attorney holding a JD degree… more
- Somatus (Woodstock, NY)
- …+ And more! **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on high ... care team meetings. + Act as the patient advocate and support the member through their patient journey starting with initial outreach. + Conduct telephonic outreach… more