- 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 (Columbia, SC)
- …healthcare needs.* Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/ behavior changes to achieve ... 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 (Phoenix, AZ)
- …needs. o Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/ behavior changes to achieve optimum ... potential. We're a local company, serving Arizonans of all ages who are eligible for Medicaid since 1985. We also serve people who are eligible for both Medicaid … more
- Molina Healthcare (New York, NY)
- …behavior , contract and program regulation research, provider and member education, findings identification and communications development, and recommendations and ... customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations. +… more
- Trinity Health (Livonia, MI)
- …existing relevant coverage policies available through public payers (Medicare and Medicaid , where available). Collaborates with Trinity Health Community Health & ... in a manner that reflects honest, ethical and professional behavior . **MINIMUM QUALIFICATIONS** Bachelor's degree in business, healthcare administration,… more
- Trinity Health (Farmington Hills, MI)
- …Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** Work Remote Position24.7316) (Pay Range: $16.4877-$ Performs day-to-day payment posting ... ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for… more
- Therapeutic Alliance, LLC (Sterling, VA)
- …to join us on this exciting new journey! The Field Assistant, as a member of the team, plays a crucial role in providing information regarding client specific ... behavior and learning to ...Comply with privacy laws and requirements under HIPAA and Medicaid /Medicare regulations and understand the consequences of non-compliance. +… 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 (Quincy, MA)
- …approved documents in the appropriate language, and demonstrates culturally appropriate behavior when working with member , family, caregivers, and/or authorized ... **The ACO Nurse Case Manager will be working hybrid remote ! This position may require working in an Atrius...continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our… more
- State of Colorado (CO)
- …This position is scheduled Monday-Friday 8 am-5 pm, and will be a blend of remote and in-person work (shared space in an office environment). **The location of this ... and physician contractual scopes of work + Familiar with Medicare/ Medicaid rules and regulations + Familiar with Colorado Revised...and maintain them over time + Ability to adapt behavior and work methods in response to new information,… 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
- MyFlorida (Tallahassee, FL)
- …32439 LAKE WORTH, FL, US, 33450 QUINCY, FL, US, 32353 TAMPA, FL, US, 33611 Remote / Telework, US WHITE SPRINGS, FL, US, 32096 YULEE, FL, US, 32041 TALLAHASSEE, FL, ... timeframes, balance multiple and competing priorities and maintain goal-directed behavior and performance sometimes under stressful conditions. The employee must… more
- Trinity Health (Syracuse, NY)
- …Coding Specialist - CNY AIM (CIN), St. Joseph's Health - Full-time - Remote ** **April 2023** **Department:** 10_6236 CNY AIM **Expected Weekly Hours:** 40 **Shift:** ... adhering to coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** + Certified Risk… more
- Mindoula Health (TN)
- …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 (Evansville, IN)
- Overview **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
- 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
- Somatus (Cincinnati, OH)
- Overview The Patient Health Advocate-Transitions of Care, is a critical member of the care team consisting of nurses, dietitians, pharmacists, social workers, ... setting to another (hospital, skilled care, rehab, or long-term care). **This is a remote position, but does require that you live within the state of Ohio.**… more