- Humana (Indianapolis, IN)
- …well as, partnering effectively with stakeholders across Humana. + Acts as project manager for Midwest Region's annual bid cycle + Analyzes the competitive landscape ... experiences **Role can be based in Humana market office in Dublin, OH (Columbus, OH area ), Louisville, KY or be work from home (within OH, IN or KY). Willingness to… more
- CenterWell (Savannah, GA)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... + Bachelor's Degree in applicable discipline + Familiarity with state Medicaid and Medicare guidelines and application processes + Experience working with… more
- Elevance Health (New Bern, NC)
- …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... is granted as required by law._ The Clinical Care Advisor (Special Programs Case Manager I) is responsible for providing consultation to the case for members with… more
- MyFlorida (Fort Lauderdale, FL)
- …Verify any changes in the patient's situation, such as address, phone number, (Case Manager ,) Medicaid status or changes in medical/dental history and note it in ... with the assigned clinic. The patient scheduling/eligibility determination/clerical/data entry/records manager /receptionist functions and related policies and procedures which follow… more
- Helio Health Inc. (Syracuse, NY)
- …concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. + Demonstrates adaptability and accept change in a ... network. + Present and ready for work in designated area at assigned time and dressed in appropriate work...assigned duties. + Prepares weekly and monthly reports of Medicaid billing for the Director of Billing/Medical Records Operations.… more
- Elderwood (Buffalo, NY)
- …vested employer match up to 4% Substantial Referral program Reporting to the Manager of Clinical Operations, the Care navigator assists the clinical staff with case ... the call needs to be routed to a care manager . + Completing call audits + Coordinating and managing...degree or equivalent work experience + Demonstrated knowledge of Medicaid product information + Basic understanding of health diagnoses… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with ... risk by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the… more
- MyFlorida (Tallahassee, FL)
- …primary care, mental health, and dental health professional shortage area determinations; provide National Health Service Corps technical assistance; administer ... + Conduct all primary, mental and dental Health Professional Shortage Area (HPSA) applications in the federal designation software system for submission… more
- MyFlorida (Fort Pierce, FL)
- …Skills, and Abilities: Must be able to travel in and out of county within area 15, must a valid DL, case manager experience, phlebotomy training. Self-motivated, ... (LTC)/Disease intervention Specialist (DIS) representative is a regional position within the Area 15 and is responsible for identifying, linking newly and/or re-… more
- Adams County Government (Westminster, CO)
- …a career progression within that job title without further specialization into another job area . The Public Health Nurse I and II were created to provide employees ... with an opportunity for professional growth within the area to respectively represent entry level, journey level, and...a high degree of accuracy. + As required, completes Medicaid billing documentation per agency and state expectations and… more