- Providence (OR)
- …best people, we must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide care ... coordination, case management and care management services to Providence Health Plans(PHP) members + Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease + Case… more
- State of Indiana (Indianapolis, IN)
- Medicaid / Medicare Coordination Manager Date Posted: Sep 5, 2025 Requisition ID: 464717 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... is fully engaged with this mission. Role Overview: In this role, Medicaid / Medicare Coordination Manager, you will establish priorities, targets, and deadlines… more
- State of Colorado (Denver, CO)
- …involving violations of State and Federal regulations; + Work experience with Medicaid or Medicare regulations and statutes; + Experience investigating document ... Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010)...this position, please direct your inquiries to our ADAAA Coordinator , Julie Christopher, at ###@coag.gov or call ### .… more
- Humana (East Chicago, IN)
- …home diversion or long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a geriatric ... Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Fresenius Medical Center (Olympia, WA)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- Dartmouth Health (Lebanon, NH)
- …or counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator ... choices of insurance coverage to best meet their individual needs, ie, COBRA, Medicare / Medicaid eligibility, Medicare Supplemental Plans, and Medicare … more
- University of Rochester (Rochester, NY)
- …correctly in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim ... variances and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer… more
- Fresenius Medical Center (San German, PR)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs, and ... insurance options when insurance contracts are terminated. + Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining … more
- Humana (Burlington, IA)
- …case management. + One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services ... the care and wellbeing of members. The LTSS Care Coordinator _(Care Coach 1)_ employs a variety of strategies,...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- UPMC (Pittsburgh, PA)
- …qualify for Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare , Medicaid , or require a nursing facility level of care. The ... UPMC Health Plan is seeking a full-time CHC Service Coordinator , Nursing Facilities to support Community HealthChoices in Mifflin, Snyder & Juniata Counties! UPMC… more
- National Health Care Associates (Bath, ME)
- …federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs ... to join our team! **-** **What You'll Do:** As an MDS Coordinator / Nurse Assessment Coordinator , you will complete and assure the accuracy of Minimum Data Set… more
- Preferred Home Care of New York (Brooklyn, NY)
- …Office who understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance, and is committed to excellence in ... Home Care Intake Coordinator Summary **Title:** Home Care Intake Coordinator...+ Send referral to MLTC for potential enrollment or Medicaid assistance + Send referral to appropriate CHHA for… more
- The Institute for Family Health (New Paltz, NY)
- …the FQHC/Article 28, Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics ... REVENUE CYCLE COORDINATOR Job Details Job Location New Paltz Family...and executing disciplinary actions + Understanding of medical Commercial, Medicaid , Medicare and Supplemental Payment Programs, Billing… more
- Independent Health (Buffalo, NY)
- …Independent Health policies, summary plan descriptions, member contracts, and Centers for Medicare and Medicaid Services (CMS) guidelines for all lines of ... managers, attorneys, other insurance companies, regulatory agencies (ie Centers of Medicare and Medicaid ) and internal departments effectively. + Identify… more
- Penn State Health (Lancaster, PA)
- …Accreditation Program Coordinator -Quality, helps maintain compliance to Centers for Medicare and Medicaid Conditions of Performance and legal protection for ... primary purpose of the non-RN Regulatory & Accreditation Program Coordinator -Quality is to establish regulatory presence at the local...General, The State Board of Pharmacy and Centers for Medicare and Medicaid Services. The importance of… more
- Penn State Health (Lancaster, PA)
- …Accreditation Program Coordinator -Quality, helps maintain compliance to Centers for Medicare and Medicaid Conditions of Performance and legal protection for ... primary purpose of the RN Regulatory & Accreditation Program Coordinator -Quality is to establish regulatory presence at the local...General, The State Board of Pharmacy and Centers for Medicare and Medicaid Services. The importance of… more
- Novant Health (Winston Salem, NC)
- …the procedures performed and the pre/post care required. + Knowledge of Medicare / Medicaid rules/regulations necessary to understand criteria for admission. + ... to coordinating patient testing/screening and setting appointments. Knowledge of Medicare / Medicaid rules/regulations necessary to understand criteria for… more
- Sea Mar Community Health Centers (Seattle, WA)
- …and problem solving skills; a working knowledge of government systems/regulations, such as Medicare , Medicaid and community resources. + Must have a good ... Mar is a mandatory COVID-19 and flu vaccine organization Social Services Coordinator (SSC)- Posting #27450 Hourly Rate: $25.00 Position Summary: Sea Mar Community… more
- The Cigna Group (Morris Plains, NJ)
- …of content development activities that influence how Regulated Markets lines of business ( Medicare , Medicaid , EGWP, Marketplace) show up in the market. This team ... **POSITION SUMMARY - Content Coordinator ** The Content Coordinator provides support...risk for the pharmacy benefit for their regulated markets populations- Medicare , Medicaid , dual-eligible and health exchange. If… more
- Diversicare Healthcare Services & Diversicare Ther (Shelby, MS)
- …timely submission to state databases and other entities. + Ensure compliance with Medicare and Medicaid regulatory guidelines. **Qualifications** + Two years of ... **Overview** **Exciting Opportunity: Join Diversicare as an MDS Coordinator /Clinical Coordinator - RN** Diversicare is seeking a dedicated MDS Coordinator… more
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