- Diversicare Healthcare Services & Diversicare Ther (Huntsville, AL)
- …and consult with RNACs and MDSCs on the RAI, Medicare, Medicaid and Managed Care processes to facilitate compliance, integrity and accurate reimbursement. 2. ... \#BSC123 **Responsibilities** The key role of the Clinical Reimbursement Specialist is to ensure that the RAI process at...staff and Administration on the RAI, Medicare, Medicaid and Managed Care processes to facilitate compliance, integrity… more
- Commonwealth Care Alliance (Boston, MA)
- …use **Desired Experience (nice to have):** + 5+ years in health plan or managed care settings **Required Knowledge, Skills & Abilities (must have):** + Ability ... 024800 Clin Alli-Community Health Services **Position Summary:** Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for… more
- National Health Care Associates (Marlborough, MA)
- …Applicants must be experienced in skilled nursing business office tasks. **Key Responsibilities:** + Managed Care Billing + Able to work in the areas of census, ... Work** Reservoir is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work,...you to join our team as an Account Receivable Specialist **-** **What We Offer** As an affiliate of… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... EST, Monday-Friday.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Molina Healthcare (Fort Worth, TX)
- …**Required Experience** 3 or more years in case management, disease management, managed care or medical or behavioral health settings. **Required License, ... population for Texas. This leader will also support our Peer Support Specialist team. Looking for a candidate with Behavioral and previous leadership experience… more
- Humana (Detroit, MI)
- …Experience with health promotion, coaching and wellness + Experience with Medicaid Long Term Care + Previous managed care experience + Bilingual- Spanish, ... a part of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or… more
- Access: Supports For Living (Middletown, NY)
- …Collaboration with Healthcare Providers and Community Stakeholders: - Partner with managed care organizations (MCOs), healthcare providers, and community-based ... OVERVIEW OF PRIMARY RESPONSIBILITES : The Community Health Worker (CHW) - Social Care Network Specialist plays a key role in advancing the New York State 1115… more
- Diversicare Healthcare Services & Diversicare Ther (Oak Ridge, TN)
- … specialist , ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines. + Review Additional Documentation Requests (ADRs) ... **Overview** **Lead the Way as Director of Care Coordination at Diversicare!** At Diversicare, we're looking...At Diversicare, we're looking for a passionate Director of Care Coordination to join our exceptional team. If you're… more
- Evergreen Health (Buffalo, NY)
- …components in conjunction with PCP. + Ensures case management is implemented and managed to improve continuity and quality of care . + Maintains communication ... self-expression. We recognize that our diverse workforce allows us to provide culturally competent care to everyone in our community . The RN Care Manager -… more
- AmeriHealth Caritas (Newark, DE)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... the Community Health Navigator, member, member caregiver as appropriate, PCP, Specialist , and Facility/Vendor Providers. + Provides transitional care management.… more