- Elevance Health (Washington, DC)
- …Operations areas. **How you'll make a difference:** + Gathers clinical information regarding case and determines appropriate area to refer or assign case ... skills, qualifications and experiences:** + Understanding of managed care or Medicaid /Medicare strongly preferred. For candidates working in person or virtually in… more
- Northern Light Health (Bangor, ME)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. + Brings any questions or ... leadership/consultation in the implementation, evaluation and modification of care coordination/ case management. + Facilitates multidisciplinary performance improvement committees to… more
- State of Colorado (Denver, CO)
- …plans + Medical and dental health plans + Paid life insurance + Short- and long -term disability coverage + 11 paid holidays per year plus generous personal time off ... centers, emergency medical services providers, designated and non-designated trauma centers, long term care facilities, HCBS waiver services, and many other specific… more
- Molina Healthcare (Houston, TX)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... will be given to applicants with a minimum of 2 years' experience in Case Management/Service Coordination within an MCO. Candidates should be able to speak to how… more
- HCA Healthcare (Fort Walton Beach, FL)
- …patients with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns with ... indemnity), auto and home insurance, identity theft protection, legal counseling, long -term care coverage, moving assistance, pet insurance and more. + Fertility… more
- State of Colorado (Pueblo, CO)
- …for a position on a specific unit as indicated in this announcement and if the hiring manager chooses to extend a job offer to you, the hiring manager may make ... Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure Manual,… more
- Humana (San Juan, PR)
- …Rico. You must live in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' needs and requirements ... and maintain an optimal wellness state. Using clinical knowledge, the Care Manager guides members with chronic conditions toward and facilitates interaction with… more
- CenterWell (Belle Glade, FL)
- …and subsequent health outcomes. Experience will ideally include prior care or case management work with transitions of care and high-risk patient management programs ... food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications,… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care...assistance. 13.Interacts with medical and professional staff on a case by case basis to obtain appropriate… more
- UnityPoint Health (Des Moines, IA)
- …either an outpatient or inpatient setting. The work involves facilitating overall case planning for clients and their families and maintaining all necessary ... the substance abuse counselor team, provides assistance to the Manager , and participates in the multidisciplinary team planning to...+ Dental and health insurance, paid holidays, short and long -term disability and more. We even offer pet insurance… more