- Tufts Medicine (Lowell, MA)
- **Job Overview** The Clinical Manager - Home Health & Hospice directs, coordinates and evaluates the delivery of home health and hospice weekend services and ... and team meetings on a regularly scheduled basis according to the agency's standards. Case conferences with staff as needed to meet the needs of challenging clients.… more
- ChenMed (Virginia Beach, VA)
- …outreach. The incumbent will implement comprehensive care plans designed by our Nurse Case Managers to provide targeted education and deliver other care under the ... and logistical tasks. + Assists patient and family with completion of Medicaid application for support and access to community/financial resources and refer cases… more
- LifeCenter Northwest (Bellevue, WA)
- …Salary Position Type Full Time Travel Percentage Up to 50% Description The Manager , Organ Recovery (ORM), supports the mission, goals, and strategic plan of ... with Association of Organ Procurement Organizations (AOPO), Center for Medicare and Medicaid Services (CMS), and UNOS Guidelines. + Partners with Learning &… more
- CVS Health (Phoenix, AZ)
- …And we do it all with heart, each and every day. **The Senior Manager , Quality of Care** is responsible for leading and coordinating comprehensive quality assurance ... Support:** Collaborate with clinical leadership to assist in peer review case preparation and follow-up, ensuring fairness, transparency, and adherence to policy.… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. ... a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets, coordinating and leading the end...of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to… more
- LifeCenter Northwest (Bellevue, WA)
- …- $174,000.00 Salary Position Type Full Time Description and Qualifications The Manager , Organ Donation Coordinators, supports the mission, goals, and strategic plan ... of Organ Procurement Organizations (AOPO), Center for Medicare and Medicaid Services (CMS), and UNOS Guidelines. + Works with...This position requires regular, time-sensitive travel to and from case activity across the region. As such, the ability… more
- Healthfirst (NY)
- …Medicare, Medicaid and//or Managed Long-Term Care Plan (MLTCP) Experience working as a case manager for a long-term care programs such as PACE, MAP or MLTC ... Strong understanding of value-based care principles and their application to MLTC populations Experience accessing and maintaining patient health information (PHI) electronically in a shared network Strong computer skills, including, but not limited to word… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …is true to the best of my knowledge. **Job Description** Join Takeda as the Manager of Price and Gross-to-Net (GTN) Forecasting within the US Business Unit. For this ... GTN discounting components for your portfolio products - including Medicare, Medicaid , payer and incentive rebates, chargebacks, and government pricing calculations… more
- Waystar (Austin, TX)
- **ABOUT THIS POSITION** Waystar is seeking a Senior Product Manager to join the team. Reporting to the Vice President, Product Strategy, you will be responsible for ... stories, product requirements, and backlog grooming + Experience constructing a business case for product initiatives + Previous work with clinical decision support,… more
- Virtua Health (Mount Holly, NC)
- …and complete documentation of individual plan of care in EMR and case management documentation system. Metrics- Accountable to job specific goals, objectives and ... clinical nursing (RN) experience or Social Work Minimum of 1 year Case Management or other interdisciplinary experience including Homecare Coordination in an Acute… more