- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …new specifications to the recovery system. + May serve as backup to management (ie Medicaid Program Supervisor, Medicaid Program Manager 1B). + Other tasks ... send responses to escalated matters. + Maintains an advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims. + Participates in… more
- Tufts Medicine (Lowell, MA)
- …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. ... + Evaluate staff understanding of documentation and compliance with regulations ( Medicaid , Medicare, DPH, OSHA, JCAHO, State and Federal) with QA input.… more
- PruittHealth (Blue Ridge, GA)
- …collects past due rents in a timely manner to include working with Medicaid case managers, residents, family members and/or responsible parties. Follow Frontier ... Management collection policy. 15. Maintains resident, employee and other business files. 16. Manages time clock records; enter time off data; review missed punches; conduct error review 2 times per week; communicate clock-in policies with employees and inform… more
- Molina Healthcare (NM)
- …membership growth and retention for Molina Healthcare of New Mexico Medicaid . + Build and maintain relationships with community-based organizations and healthcare ... + Strong presentation skills and broad knowledge of Nevada Medicaid is helpful. **If you are passionate about community...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …utilization review and/or quality assurance programs; + Conduct various types of case reviews for quality and appropriate medical management, cost containment, peer ... evaluates and monitors documentation of all hospital disciplines when performing case reviews; + Attend professional workshops, seminars and in-service training; +… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …and processes client information to determine eligibility for Federal/State funding and Medicaid . In this role you will assist in resolving problems, locating ... Obtains and maintains appropriate eligibility documentation Completes applications for Medicaid and Federal/State Funds Maintains open communication with Protective… more
- State of Montana (Helena, MT)
- …and subsequently implementing a complex care program and serves as the lead case manager . The position will report directly to the executive Director, ... Human Services (DPHHS) has a career opportunity within the Medicaid Health and Resource Branch.* This position is responsible...Career Opportunity ** * Knowledge of the principles of case management. * Knowledge of the principles and importance… more
- Elevance Health (Charleston, WV)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
- System One (Las Vegas, NV)
- …Functions: + Serve as point of contact with the Primary Care Manager , Medical Director, Provider, or other internal/external stakeholders. + Collaborate as part ... existing documents to include, but not limited to, assessments, treatment plans, case notes, referrals, and care team members, ensuring compliance with accreditation… more
Recent Jobs
-
Senior / Lead Mechanical Engineer
- LTS ENERGY (Houston, TX)
-
Outside Sales / Customer Service Representative
- Everglades Equipment Group (Palmetto, FL)
-
Road Service Technician
- Everglades Equipment Group (Boynton Beach, FL)
-
Care Coordinator
- University Health (San Antonio, TX)