- Sentara Health (Lexington, VA)
- …Shift First (Days) Overview: Sentara Health Plansis hiring an Integrated Nurse Case Manager /RN/Maternity/OBGYN for Lexington, Buena Vista, Millboro, Goshen, Warm ... Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust...Keyword Search: JR-89064 #Indeed Talroo - Nursing Care Coordination, Case Management, RN, Case Manager ,… more
- NHS Management (Prattville, AL)
- …role, as well as associated experience, then apply with your CV below. Regional Case Manager - Covers Luverne, Georgiana, Ozark, Opp, Florala, Mobile $15k Sign ... on Bonus MDS (minimum data set) experience required NHS is seeking an experienced Regional Case Manager /MDS Consultant to add to our team of leaders. In this… more
- Centene Corporation (Mcallen, TX)
- …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN, ... Health experience is required **Preferred Experience:** * 3+ years of case management, care coordination, treatment and/or discharge planning with adult population… more
- Iowa Department of Administrative Services (Fort Dodge, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... challenges and access resources that promote long-term stability Every case you take on is a chance to make...apply Iowa Code and agency policies to determine appropriate case outcomes + Apply analytical reasoning to complex casework… more
- Iowa Department of Administrative Services (Cherokee, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... The successful candidate will have skills in assessment of patients and extensive case management skills. It will be imperative to have a background in severe… more
- Actalent (Jacksonville, FL)
- …adapt to changing priorities and hybrid schedules. + InterQual experience. + Certified Case Manager . + Familiarity with Medicaid /Medicare regulations. + ... Licensed Nurse in FL!! Job Description The OB RN Case Manager will coordinate care for maternal...and continuously monitoring clinical outcomes to support compliance with Medicaid contracts and promote improved maternal and neonatal outcomes.… more
- New York State Civil Service (Syracuse, NY)
- …No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6417) Occupational Category Legal Salary Grade NS Bargaining ... State NY Zip Code 13202 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Syracuse Medical AnalystReference No. MFCU_SYR_ MA_6417Application… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure ... a multidisciplinary team responsible for utilization review, prior authorization, and case management functions. + Monitor team performance, analyze metrics, and… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- NTT DATA North America (Montgomery, AL)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The Lead Financial Case Manager under the direction of the Supervisor leads a team in the support of determining eligibility for Medicaid and other ... NYS license for transportation to meetings/appointments Key Responsibilities: + Leads a Financial Case Manager team members in doing the equivalent work, assigns… more
- Elevance Health (Washington, DC)
- …Health Medical Director - Psychiatrist - District of Columbia (aka Washington DC) Medicaid ** **Location:** This role requires associates to be in-office 4 days per ... **Behavioral Health Medical Director** is responsible for reviewing cases for DC Medicaid members including pharmacy, child, and substance use disorders, and all… more
- Elevance Health (Durham, NC)
- **Behavioral Health Medical Director - Psychiatrist - North Carolina Medicaid ** **Location:** This role enables associates to work virtually full-time, with the ... The **Behavioral Health Medical Director** is responsible for reviewing cases for NC Medicaid members including child and substance use disorders, and all levels of… more
- Elevance Health (Seven Fields, PA)
- **Medical Director Associate- Psychiatrist- Pennsylvania Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- University of Southern California (Alhambra, CA)
- In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care provided, as well… more
- Lifespan (Rochester, NY)
- …helping plan and maintain long-term financial security of clients. The case manager is responsible for processing Social Security, Medicaid and other benefit ... Case Manager -Financial Services Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description STATUS: Full-time (37.5… more
- Mindoula Health (VA)
- …the administrative/operational flow of participants into the program. Further, serves as case manager for clients with mental illness and/or substance use ... is split into (1) Program Coordination-specific functions and (2) Case Manager -specific functions. Location This is a...of benefits including, but not limited to, SSDI, SSI, Medicaid , Medicare, LTC Medicaid , LTC, STD, LTD,… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Developmental Services Case Manager (40 Hour) Hybrid Recruitment # 260105-5660FP-001 Location Hartford, CT Date Opened 1/7/2026 3:15:00 PM Salary $82,249 - ... disabilities? If so, we encourage you to consider the Developmental Services Case Manager position below! The State of Connecticut (https://portal.ct.gov/) ,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- BayCare Health System (Brooksville, FL)
- …and clinical excellence. BayCare Health Systems is currently seeking an experienced ** Case Manager ** to join our outstanding and compassionate team in ... **Weekend Work** : No + **On Call:** No **The Case Manager is responsible for:** + ...Preferred for all case managers. + **Targeted Case Managers required to bill Medicaid .** **Benefits:**… more
