- NHS Management, LLC (Tuscaloosa, AL)
- Job Description Regional MDS Case Manager $10k sign on bonus + company car! MDS (minimum data set) experience required. RAC certified highly desired! Are you a ... advance your career? NHS is seeking an experienced MDS Case Manager to add to our team...Medicare and Rehabilitation in gathering information for Medicare and Medicaid appeals and denials as requested. + During facility… more
- Claxton-Hepburn Medical Center (Ogdensburg, NY)
- CHMC- Case Management- RN Case Manager - Per Diem- Various Shift - Req 9133 Pay Range: $36.54-$48.41* Job Summary: An RN Case Manager coordinates, ... best practice and current treatment regimens. + Ability to interpret Medicare, Medicaid and commercial insurance plans and benefits. + Ability to multitask, problem… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The Financial Case Manager is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process. ... and clinical accounts. * Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements, agency regulations and… more
- HCA Healthcare (Savannah, GA)
- …sign-on bonus for qualified candidates! **Job Summary and Qualifications** **The RN Case Manager is responsible for non-clinical, biopsychosocial assessments and ... 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
- Sutter Health (San Francisco, CA)
- …nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to ... A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive...including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health… more
- Molina Healthcare (Cincinnati, OH)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... state of OHIO. This position will support our MMP ( Medicaid Medicare Population) with members on Waiver program. This...members on Waiver program. This position will have a case load and manage members enrolled in this program.… more
- Humana (Sparta, WI)
- …giving you more time for what matters most. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care ... with a Care Coach (also referred to as a Case Manager ), taking the lead on health-related...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Help at Home (Bedford, IN)
- …who keep our clients safe and comfortable in their homes and communities. **RN Case Manager will support clients and caregivers throughout our Bedford, IN ... territory.** **A typical day for a RN Case Manager includes:** + Conducting initial evaluation...and supervising field staff, ensuring successful implementation of new Medicaid Waiver programs + Ensuring quality care is delivered… more
- US Tech Solutions (Miami, FL)
- …enable decision making at most appropriate level **Responsibilities:** + Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program ... + Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members… more
- Kennedy-Donovan Center (New Bedford, MA)
- …impact. About the Role: KDC is seeking a compassionate Adult Foster Care (AFC) Case Manager to provide home- and community-based support for adults with ... Preferred Qualifications: + Experience in community-based programs. + Familiarity with Medicaid , MassHealth, and state funding systems. + Experience coaching or… more