- UNC Health Care (Chapel Hill, NC)
- …care clinical staff to ensure it is compliant with Medicare, Medicaid /state/federal regulations, and agency policies and guidelines; works closely with Performance ... 2. Assesses and interprets patient data as needed to provide guidance to Case Managers on patient needs relative to his/her age and conditions. Consults with… more
- Banner Health (Phoenix, AZ)
- …need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS ... by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730...Certification for CCM (Certified Case Manager ) preferred. Additional related education and/or… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted ( Medicaid ) Case Manager ; OR an Iowa license to practice ... in a timely manner. + The ability to develop case plans, use critical thinking skills, prioritize work and...+ Insurance Coverage: Benefit from life insurance and free long -term disability insurance for added peace of mind. +… more
- R1 RCM (Marquette, MI)
- …programs for patients unable to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency ... completing assistance program applications and determine eligibility and coverage. Notify manager , physician and servicing department of possible delay of service… more
- R1 RCM (Murray, UT)
- …programs for patients unable to meet their financial obligations. + Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to ... assistance program applications and determine eligibility and coverage. + Notify manager , physician and servicing department of possible delay of service for… more
- Cayuse Holdings (Austin, TX)
- …test scenarios and participates in systems and user acceptance testing. + Creates use case scenarios, test plans, and exit criteria that accurately map back to the ... on stakeholder feedback and subject matter expertise. + 8 years' experience with Medicaid systems and processes. + 8 years' experience in claims processing. + Must… more
- Fallon Health (Worcester, MA)
- …Authorization nurse in a managed care payer preferred. * One year experience as a case manager in a payer or facility setting highly preferred. * Relevant ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Carle Health (Normal, IL)
- …Degree; Master's Degree, Work Experience: Responsibilities Works collaboratively with the RN Case Manager to provide discharge planning based on assessment of ... healthcare team members to identify available facilities and services for case specific needs during and post-hospitalization. Evaluates patients for abuse/neglect… more
- McLaren Health Care (Charlevoix, MI)
- …reporting census information asrequested. + Consults with residents, families,the DHHS case manager , and resident attorneys to identify appropriateinsurance ... plans for billing, ensures documentation is complete, and ensuresthe Medicaid approval process is acquired within the time allowed....School diploma + Three (3) years of experience in Long Term healthcare Preferred: + _Associate Degree_ + _Minimum… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The...and Medicare recipients that need in home care and Long -term care services, + Care Managers who will manage… more
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