- Mom's Meals (Ankeny, IA)
- Position SummaryThe Manager of Healthcare Partnerships will drive Medicare Advantage channel growth through continued development of relationships at Medicare ... home health, home care, hospital or medical equipment + Knowledge of Medicaid/ Medicare benefit programs + Demonstrated experience consulting and presenting to… more
- Kizen (New York, NY)
- …records, notes, and activity tracking within CRM and other internal systems. Requirements Experience as an Account Manager or in a client-facing role within ... experiences, and - overall - a more fulfilling human experience . Kizen is on a mission to give every team member an AI Assistant - turning every company into an… more
- Commonwealth Care Alliance (Boston, MA)
- …related field preferred. Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager , Provider Contracting, the Senior Provider Contract Manager is ... and/or regulatory compliance requirements. + Maintain a solid understanding of Medicare and Medicaid reimbursement methodologies for assigned services. + Conduct… more
- Commonwealth Care Alliance (Boston, MA)
- …the monitoring and analysis of provider performance using utilization, quality, and member experience metrics. + Collaborate with Business Intelligence, Finance, ... best practices to enhance provider collaboration and the overall member experience . **Working Conditions:** + This is... Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and… more
- Clever Care Health Plan (Huntington Beach, CA)
- …the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Who ... that celebrates diversity and innovation. Job Summary The role of the Case Manager is to promote quality, cost-effective outcomes for an assigned population by… more
- Commonwealth Care Alliance (Boston, MA)
- …of CCA's mission, value-based approach, and expectations for quality, utilization, and member experience . - Address provider inquiries related to care ... experience required. Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Experience or… more
- Boost Home Health (Frisco, TX)
- …and wellness by delivering personalized, coordinated in-home care. As a key member of our team, you'll help ensure that patients receive high-quality support ... in the comfort of their own homes. The Clinical Manager is a Registered Nurse (RN) licensed in Texas...oversee adherence to each patient's Plan of Care (POC). Experience with OASIS, PDGM coding, and 485/Plan of Care… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing ... foster strong, collaborative relationships with provider partners serving dual-eligible ( Medicare -Medicaid) members. This role ensures providers are well-informed, engaged,… more
- Commonwealth Care Alliance (Boston, MA)
- …medical, behavioral and social needs **Desired Experience (nice to have):** + Experience working in a health plan, with Medicare Advantage and/or dually ... Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to our ... high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
- PharmaCord (Lexington, KY)
- …that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com ... When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference...to their complex medication. You'll compassionately deliver an exceptional experience to many patients per day always remembering that… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Aveanna Healthcare (Cedar Rapids, IA)
- …in the state of the application Associate's degree required Valid CPR Medicare skilled nursing experience preferred Basic understanding of OASIS preferred ... $15,000 Sign On Bonus! Position Overview The Home Health RN Assistant Clinical Manager , will evaluate nursing activities to ensure patient care, staff relations,… more
- Boost Home Health (Southfield, MI)
- …to focus on recovery and wellness by personalizing and coordinating care. As a member of our team, you'll play a key role in providing quality home healthcare, ... healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse (RN) who has graduated...license in the state of Michigan Two (2) years experience as a RN with two (2) years in… more
- Commonwealth Care Alliance (Boston, MA)
- … experience required Experience Required: - 3 or more years of experience managing sales operations and Medicare and Medicaid programs. - 2 Years ... and understanding State and Federal regulatory and compliance guidelines - Demonstrated experience working within and understanding Medicare Advantage Programs -… more
- Commonwealth Care Alliance (Boston, MA)
- …Agile/scrum master certification Required Experience (must have): - 5 or more years' experience as an operational project manager - 3 or more years' ... from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation...(nice to have): - Healthcare non-profit, consulting and/or startup experience is a plus - Medicare Advantage… more
- SR International, Inc. (Phoenix, AZ)
- SOAZ - Posting ID # 5044 - Nursing Home Manager /Administrator (Onsite) Important Note: W2 ONLY ROLE This position is for candidates who live in Arizona only 100% ... Agency Skills Assessment Packet Job Summary: Seeking a Nursing Home Manager to perform planning, directing subordinates, and interpreting policy. Education… more
- Boost Home Health (Dallas, TX)
- …to focus on recovery and wellness by personalizing and coordinating care. As a member of our team, you'll play a key role in providing quality home healthcare, ... healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse (RN) who has graduated...license as a Registered Nurse, current Texas driver's license. Experience : Minimum two years as a Registered Nurse in… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
