- 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
- Louisiana Department of State Civil Service (LA)
- …provides investigative services in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud Control ... and prosecute health care providers who have defrauded the Medicaid program. The MFCU also investigates and prosecutes allegations...selected for this position. + Referred to the Hiring Manager for Review - Your application has been delivered… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …of hire + Qualified Developmental Disabilities Professional (QDDP) or Qualified Intellectual Disability Case Manager (QIDCM) - required within 1 month of hire ... a Qualified Developmental Disabilities Professional (QDDP) or Qualified Intellectual Disability Case Manager (QIDCM). PHYSICAL REQUIREMENTS: Ability to drive to… more
- Bellefaire JCB (Cleveland, OH)
- …Team" (https://vimeo.com/894121531) on Vimeo! POSITION SUMMARY: The Medical Social Workers (Medical Case Manager ) is responsible for providing medical case ... Utilizing a holistic approach to case management, the Medical Social Workers (Medical Case Manager ) administers the full scope of Medical Case Management… more
- GMHC (New York, NY)
- …responsibilities, ensuring that Housing Case Managers, as well as potentially the Intake Case Manager , Mental Health Counselor, and Substance Use Case ... standard of service delivery and adherence to contractual obligations. + Lead case conferences involving housing case managers, clients, and external providers… more
- Southwest Nursing Center (Fort Worth, TX)
- …Office Manager on managing insurance payments, including private, Medicare, Medicaid and other managed care; managing refunds for accounts receivable, and ... parties on billing and upcoming services. * Assist the business office manager in managing insurance payments of Medicare, Medicaid , private insurance,… more
- City of New York (New York, NY)
- …diagnosed with HIV or AIDS. Among the services provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition ... criteria last year to include the provision of HASA case management services to all persons diagnosed with HIV....case transactions to be reported to the Regional Manager . - Provide primary oversight and final approval/ disapproval… more