- Banner Health (Casa Grande, AZ)
- **Primary City/State:** Casa Grande, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care Better Than Ever for Nurses. ... community. **Join our Care Coordination team as an RN Case Manager and make a meaningful impact every day.**...across the continuum of care. 4. Maintains knowledge of Medicare , Medicaid and other program benefits to assist patients… more
- Aveanna Healthcare (Tucson, AZ)
- RN Case Manager - Clinical Supervisor (Part Time) - Hybrid ApplyRefer a FriendBack Job Details Requisition #: 205145 Location: Tucson, AZ 85701 Category: Nursing ... leaves of absence, compensation, and training. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Molina Healthcare (Chandler, AZ)
- …master's degree in Nursing, **Preferred Experience** More than five years Case Management experience. Medicaid/ Medicare Population experience with increasing ... **KNOWLEDGE/SKILLS/ABILITIES** Oversees an integrated Care Management team responsible for case management, community connectors, health management, and/or transition of… more
- Prime Therapeutics (Phoenix, AZ)
- …in Excel, Word, and system operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge **Preferred Qualifications** ... meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's… more
- Humana (Phoenix, AZ)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Humana (Phoenix, AZ)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of the… more
- US Tech Solutions (AZ)
- …**Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a… more
- Humana (Phoenix, AZ)
- …includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- Banner Health (AZ)
- …maintain confidentiality of business and protected health information. Experience in Part D Medicare Stars will be helpful in this role. **Your schedule will be ... customers of the Health Plan including members, providers, contracted pharmacies, case managers, medical prior authorization staff, and the customer care staff… more
- Humana (Phoenix, AZ)
- …first** The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral Health ... Case Management throughout the continuum of care. They will...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more