- Bridge Personal Care Services (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of a Registered Nurse in Home Health Care is to assume ongoing assessment, care planning, documentation of progress, and ... accountability, for his/her assigned patients within the home health care system. Manages on-call as scheduled in a consistently responsible manner. JOB… more
- Health Services Advisory Group (Atlanta, GA)
- …and ResponsibilitiesCreates work plans with tasks and timelines for behavioral health Medicaid managed care projects, monitors completion of tasks to ensure ... state client.Participates in external quality reviews of behavioral health and physical health Medicaid managed care entities based on federal and state contract… more
- HSAG (Phoenix, AZ)
- …and ResponsibilitiesCreates work plans with tasks and timelines for behavioral health Medicaid managed care projects, monitors completion of tasks to ensure ... state client.Participates in external quality reviews of behavioral health and physical health Medicaid managed care entities based on federal and state contract… more
- Bridge Personal Care Services (Findlay, OH)
- …the Home Health/Hospice system. Opportunities would include: Home Health RN Home Health Case Manager Home Health Admission Nurse Wound Care RN Unique Home Health ... . Duty 4: Makes visits as assigned by case manager /scheduler in compliance with the plan of care...procedures, and practices to ensure quality job performance and Medicare/ Medicaid compliance to include Home Health and/or Hospice guidelines.… more
- A-Line Staffing Solutions (Cleveland, OH)
- …GREAT Hours! Monday through Friday, 40 hours per week Competitive Pay Rate Keywords: Care Coordination , Care Plan Evaluation, Home Healthcare, Travel Nurse, ... Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, Care Coordination , Care Plan Evaluation, Home Healthcare,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …agency policy and procedure.Collaborates and communicates with the patient/family, RN Case Manager , Patient Care Manager , RN Supervisors, Physician, Referral ... Source, and Hospice Interdisciplinary Team to ensure optimal coordination of care for each patient/family and...to control symptoms of hospice patients.Recommends/assists the RN Case Manager in coordinating all aspects of care … more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- … Coordinator, Physician, Referral Source, and Hospice Interdisciplinary Team to ensure optimal coordination of care for each patient/family and to participate in ... from a cost effectiveness perspective and utilizing hospice philosophy of care . Understands hospice Medicare/ Medicaid /payor benefits and delivers care … more
- Mindlance (Syracuse, NY)
- …other departments, staff, members and providers. Responsible to assist with workflow coordination within the department. Assists manager or director with ... integrating, and monitoring the use of medical and health care services for members; The SN UAS Nurse may...governmental agencies (eg Client/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or… more
- Alternate Solutions Health Network LLC (Detroit, MI)
- …at the heart of what you'll do as a Hospice, General InPatient Nurse-Case Manager . You'll help deliver care in a holistic, family-centered manner anticipating, ... our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for...referral sources with information on hospice programs and the coordination of patient care for optimal transition… more
- Marion County (Bellevue, WA)
- …health assessments, and provide other therapeutic supports such as case management and coordination of care . If you enjoy a diverse workday and professional ... SUPERVISION RECEIVED Work under the general supervision of a manager or supervisor, who assigns work, establishes goals, and...not be excluded from participation in the federal health care programs ( Medicaid , Medicare and other federally… more
- Marion County (Clackamas, OR)
- …health assessments, and provide other therapeutic supports such as case management and coordination of care . If you enjoy a diverse workday and professional ... SUPERVISION RECEIVED Work under the general supervision of a manager or supervisor, who assigns work, establishes goals, and...not be excluded from participation in the federal health care programs ( Medicaid , Medicare and other federally… more
- Marion County (Salem, OR)
- …the following: Must not be excluded from participation in the federal health care programs ( Medicaid , Medicare and other federally funded programs that provide ... program. SUPERVISION RECEIVEDWorks under the general supervision of a health program manager or program supervisor who assigns and oversees work, establishes goals… more
- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Manager , Care Coordination to lead teams of nurses and behavior health ... professionals responsible for care management. The Manager , Care Coordination works within... for elderly or special needs populations, or in Medicaid and/or Medicare. + 2+ years of management or… more
- Molina Healthcare (Glen Allen, VA)
- …Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare ... and must be licensed for the state of VIRGINIA. Manager will support a team of field Nurse Case...a team of field Nurse Case Managers supporting our Medicaid program We are looking for someone with strong… more
- Serco (Washington, DC)
- …eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and ... other legally protected characteristics. Click here to apply now (https://careers-sercous.icims.com/jobs/63798/ medicaid -chip-payment-error-cycle- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834477830) **New to Serco?** Join our Talent… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …avoidance. This position is responsible for planning, implementation, and ongoing coordination of federal and State Medicaid program integrity-related ... In addition, this position will provide oversight of the Medicaid Managed Care Plans (MCPs) Program Integrity...of full-time experience. Graduation from the Iowa Certified Public Manager Program is also equivalent to one year of… more
- CVS Health (New York, NY)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Senior Manager … more
- Molina Healthcare (Virginia Beach, VA)
- …educate, support and motivate change during member contacts. + Assesses for barriers to care , provides care coordination and assistance to member to address ... and field setting supporting our SMI population, within our Medicaid Population with. Case Manager will be...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Public Consulting Group (Sacramento, CA)
- …Consultant will work with project team to provide overall leadership, and task coordination as well as direct responsibility for the deliverables and work products ... order process * Identifies, tracks, and manages project risks/issues; including coordination for risk/issue mitigation * Establish a response process and track… more
- CareFirst (Baltimore, MD)
- …design, execution, and optimization) for products and plans in the Medicare, Medicaid , and Federal Employee Health Benefits categories. Leads the team in assessing ... company direction and government programs goals (revenue management, cost of care containment, operational excellence, and driving improvement in all quality… more
