- CenterWell (Hampton, VA)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Virginia or Compact ... for the development, implementation and management oversight of the company's Medicare/ Medicaid Stars Program. The Stars Improvement, Clinical Professional 2 work… more
- UNC Health Care (Rocky Mount, NC)
- …Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge planning. May ... through the continuum of care, or may concentrate on one aspect of case management, depending on the area assigned. In collaboration with the Interdisciplinary… more
- Loretto Management Corporation (Jamesville, NY)
- Overview Join our beautiful Nottingham location as a Case Manager ! The Case Manager provides comprehensive care management services to ALP and ACF ... advocacy, group work and family counseling as appropriate. The Case Manager is a key member of...financial situation, referring to Finance Department as necessary, ie Medicaid application. Provides financial counseling as required. + Evaluates… more
- Humana (Eau Claire, WI)
- …community and help us put health first** Job Description Summary Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving ... members to thrive in their daily lives. As a Case Manager , you will provide comprehensive social...the MCP. + Collaborate continuously with a Field Care Nurse ( RN ) to review and update care… more
- HCA Healthcare (Portsmouth, NH)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Social Worker Case Manager MSW you want with your current employer? We have an ... Do you want to work as a(an) Social Worker Case Manager MSW PRN where your passion...in this role:** + You will work collaboratively with RN case managers, acute care nurses, physicians,… more
- HCA Healthcare (Reston, VA)
- **Description** **Introduction** Do you have the career opportunities as a Case Manager MSW you want with your current employer? We have an exciting opportunity ... of colleagues. Do you want to work as a(an) Case Manager MSW where your passion for...in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians,… more
- Centene Corporation (Mcallen, TX)
- …and providing patient advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN , or Social Worker in community mental ... including a fresh perspective on workplace flexibility. **LCSW, LPC, or RN license with Psych/ Behavioral Health experience.** **Location: McAllen, Mission, Edinburg… more
- Humana (Fort Atkinson, WI)
- …of our caring community and help us put health first** Humana is seeking a Case Manager /Community Resource Coordinator (CRC), to join the Inclusa team to serve ... it. + Partner with a Health and Wellness Coordinator ( RN ) and collaborate on an ongoing basis regarding the...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- HCA Healthcare (Savannah, GA)
- …**What you will do in this role:** + **You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff ... you want to work where you have a voice? Case Management is at the forefront of our commitment...a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes. You will… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
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