- Novo Nordisk Inc. (Las Vegas, NV)
- …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Marion County (Salem, OR)
- …in ECS.Coordinate discharge planning with NorthWest Seniors and Disability Services (NWSDS) Case Manager (CM) and Providence Benedictine Nursing Care staff. ... enrollment in ECOS.Coordinate discharge planning with NorthWest Seniors and Disability Services (NWSDS) Case Manager (CM) and program. Identify MH needs to be… more
- Marion County (Salem, OR)
- …on the adult outpatient team, including other therapists, skills trainers, case managers, peer support specialists, prescribers, and supported employment and ... and their families. SUPERVISION RECEIVED Work under the general supervision of a manager or supervisor, who assigns work, establishes goals, and reviews the results… more
- Marion County (Salem, OR)
- …to other staff. You will be working directly under the Nurse Program Manager , and overseeing daily operations of the outpatient clinic, working closely with the ... SUPERVISION RECEIVEDWorks under the general supervision of the Nurse Program Manager , who assigns duties, establishes goals and reviews results. SUPERVISION… more
- Marion County (Salem, OR)
- …therapy, conduct mental health assessments, and provide other therapeutic supports such as case management and coordination of care. If you enjoy a diverse workday ... and their families. SUPERVISION RECEIVED Work under the general supervision of a manager or supervisor, who assigns work, establishes goals, and reviews the results… more
- Marion County (Salem, OR)
- …therapy, conduct mental health assessments, and provide other therapeutic supports such as case management and coordination of care. If you enjoy a diverse workday ... and their families. SUPERVISION RECEIVED Work under the general supervision of a manager or supervisor, who assigns work, establishes goals, and reviews the results… more
- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Case Manager (CM) will be responsible for helping members achieve ... of members, using available resources to promote quality cost-effective outcomes. The Case Manager will apply the guiding principles for case management… more
- Molina Healthcare (Detroit, MI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... **JOB DESCRIPTION** This position will support our MMP (Medicaid Medicare Population) that is part of the Community Well...Community Well Services team. This position will have a case load and manage members enrolled in this program.… more
- The Cigna Group (Bloomfield, CT)
- Job Description For this position, Nurse Case Manager Senior Analyst, through the case management process, will: + Promote the improvement of health outcomes ... of direct clinical care to the consumer. + Previous case management experience with the Medicare /Medicaid population...+ Within three (3) years of hire as a case manager , the case … more
- Cassia (Hopkins, MN)
- …MDS assessments and observations. + Develop initial and temporary care plans. + Assist Case Manager with Medicare scheduling, monthly billing, charting, and ... referral records, and reports. + Work in collaboration with Admissions staff, Case Manager and nursing team. + Display a courteous attitude and respect for… more
- The Cigna Group (Bloomfield, CT)
- …care related field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst, through the case management process, ... members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate,...to the consumer. + Ideal candidate would have previous case management experience with the Medicare /Medicaid population… more
- The Cigna Group (Bloomfield, CT)
- …Medicare and/or Medicaid experience with geriatric populations a plus + Certified Case Manager preferred + Experience with community resource organizations + ... facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the...care to the customer and primary care physician. Prioritize case goals, monitor the completion of care goals and… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in ... and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization...of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to… more
- Corewell Health (Grand Rapids, MI)
- …of the member appeal and fair hearing review processes for all Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, ... CMS, decisions are properly implemented. Assist the Lead, Supervisor and/or Manager in coordinating activities and in the development/collection of materials… more
- The Cigna Group (Bloomfield, CT)
- The _Medicare Population Health Case Management Intake Navigator_ has responsibility to ensure customer satisfaction and program compliance through supporting ... case management staff and programs. **Position Scope:** + Supports...Participates in projects/activities and reports progress or barriers to Manager . + Build solid working relationships with staff, customers,… more
- The Cigna Group (Tampa, FL)
- A member of the Cigna Medicare Business Operational Excellence Process Engineering team. This role will lead, facilitate, and drive business process engineering ... and coordinate business projects, including: + Define the business case , guide chartering, apply proper project management techniques, collect...leading a team of professionals, either as a direct manager or as a cross organizational team leader +… more
- PeaceHealth (Vancouver, WA)
- …the Care Management team in the following role: + Full-time .9 FTE Day Shift **RN Case Manager ** position + 8-hour shifts, 8am - 4:30pm, 72 hours every two week ... + Required Upon Hire: Basic Life Support Certification + Preferred Upon Hire: Certified Case Manager Skills + Discharge planning, case management, quality… more
- Bon Secours Mercy Health (Greenville, SC)
- …and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is a key contributor to the overall financial, quality, and clinical ... performance at St. Francis Health System. The RN Care Manager will: + Facilitate the extraction of all clinical...required. + Utilization management experience preferred. + Familiar with Medicare MS-DRGs and Medicare PPS preferred. +… more
