- University Health (San Antonio, TX)
- …Position : Works under the direct supervision of the Coding Education & Audit Manager . Will perform any or a combination of the following types of coding education ... but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality...from other licensing bodies shall be accepted on a case by case basis and upon managerial… more
- University Health (San Antonio, TX)
- …SUMMARY/RESPONSIBILITIES Works under the direct supervision of the Coding Education & Audit Manager . Will perform any or a combination of the following types of ... but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality...from other licensing bodies shall be accepted on a case by case basis and upon managerial… more
- Centene Corporation (Mcallen, TX)
- …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN, ... Health experience is required **Preferred Experience:** * 3+ years of case management, care coordination, treatment and/or discharge planning with adult population… 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 ... provide good written documentation in a timely manner. + The ability to develop case plans, use critical thinking skills, prioritize work and work under pressure. +… more
- MyFlorida (West Palm Beach, FL)
- …assisting individuals and families in accessing services, ensuring compliance with Medicaid requirements, conducting WSC case transfers, and other initiative ... MEDICAID WAIVER SUPERVISOR - 67013921 Date: Dec 15,...processes by ensuring submissions made to the Regional Operations Manager and Deputy ROM for approval follow the Agency… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure ... a multidisciplinary team responsible for utilization review, prior authorization, and case management functions. + Monitor team performance, analyze metrics, and… more
- CVS Health (Frankfort, KY)
- …-Additional duties as assigned which will include a carrying a modified case load including but not limited to: -Research incoming electronic appeals, complaints ... and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria. -Research Standard Plan Design or… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- NTT DATA North America (Montgomery, AL)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… more
