- Banner Health (Phoenix, AZ)
- …discharge date and potential care settings. 7. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with transition of care ... MSW, registered nurse or other licensed healthcare professional. Confers with supervisor /manager on any unusual situations and communicates plans and activities for… more
- University of Southern California (Alhambra, CA)
- …of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid /Medicare contracts and benefit systems, and employee health plans. 2. ... Ambulatory Care Management Coordinators. 4. Makes appropriate referrals to supervisor or Medical Director, communicating accurate clinical information. 5.… more
- State of Massachusetts (Worcester, MA)
- …the Regional Nurses. * Collaborate with the Medical Director, the HMST Supervisor , Area Offices, and other specialty units (Regional Nurses, Central Office Medical ... including Medication Administration Program (MAP) issues when youth are entering group home placements; follow-up on issues around prior authorization for medication… more
- Gentiva (Altoona, PA)
- …to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC)** We are seeking a dedicated Patient Care Manager ... and professional manner + L ead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts, coordinating… more
- Conduent (New Brunswick, NJ)
- …ideas and new ways of thinking? **Position Purpose:** Reports to the Outreach Supervisor and serves as a key liaison between the NJ FamilyCare program and ... the healthcare field. + Knowledge and operational experience in Medicaid and/or CHIP programs are a plus. + General...citizenship status, basis of genetic information, or any other group protected by law. For US applicants: People with… more
- WestCare Foundation (Las Vegas, NV)
- …delivery". Counselors are primarily responsible for the delivery of individual, group and family counseling services and the completion of documentation required ... will implement an approved evidenced based curriculum as the basis for group and individual counseling. Essential Job Functions: + Utilize counseling and… more
- J&J Family of Companies (Titusville, NJ)
- …humanity. Learn more at https://www.jnj.com **Job Function:** Medical Affairs Group **Job Sub** **Function:** Medical Science Liaison **Job Category:** ... limited to, Managed Care Organizations (MCOs), large physician groups, Group Purchasing Organizations (GPOs), Pharmacy Benefit Management (PBM) companies,… more
- Mental Health Association of SCK (Wichita, KS)
- …and cleanliness. The Residential Care Team Leader will provide AC/PR/TCM Medicaid billable services. Completion of state required, annual internal, and program ... and incidents reporting to the resident's Housing Case Manager (HCM) and supervisor per department, agency policy and contract expectations. 11. Ensures completion… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Total ... conventions, and policies with instruction from a senior coder or supervisor . Reviews record documentation to abstract required medical, surgical, ancillary,… more
- J&J Family of Companies (Titusville, NJ)
- …limited to, Managed Care Organizations (MCOs), large physician groups, Group Purchasing Organizations (GPOs), Pharmacy Benefit Management (PBM) companies, ... Governmental Agencies (CMS and VA/DoD System), Medicare, Medicaid , Long Term Care (LTC) facilities, Integrated Delivery Networks (IDNs), and Accountable Care… more