- 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
- University of Miami (Miami, FL)
- …and other 3rd party payments in the CMS Database system. + Processes refunds to Medicaid for Targeted Case Management and re-bills when errors are detected. + ... CPT and ICD-10 codes. + Assures that proper ICD-10 codes are used to bill Medicaid or other Third-Party payors. + Ensures patients are registered in Epic and updates… more
- Tufts Medicine (Boston, MA)
- …reimbursement sources. Escalates to referral management director and/or referral manager , in circumstances of potential admission where reimbursement sources appear ... indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare/ Medicaid benefits to referral sources. + Thoroughly understands the Medicare/… more
- Elevance Health (Wilmington, NC)
- …through Foster Care and Adoptive Assistance programs is strongly preferred. + Certified Case Manager Certification is highly preferred. + Experience serving the ... _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young… more
- Penn Medicine (Plainsboro, NJ)
- …Rd** Summary: Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial, ... Medicaid and Medicare cases across programs to facilitate patient...contracts with payers and the need to facilitate single case agreements to ensure accurate and timely patient coverage… more
- Helio Health Inc. (Rochester, NY)
- …position and also take into account information provided by the hiring manager and program. IND123B Job LocationsUS-NY-Rochester Category Case /Care Management ... management and coordination of services to Health Home enrollees and eligible Medicaid / Medicaid Managed Care community members. The Health Home Care Coordinator… more
- Molina Healthcare (Covington, KY)
- …to leading a team of investigators and analysts, the Team Lead will ensure the Manager is aware of any major case developments, and ensure cases are being ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide… more
- BrightSpring Health Services (Rocky Mount, NC)
- …the member/family/guardian to complete the Preliminary Questionnaire + Communicates with the Case Manager any information pertaining to the care and well-being ... Company ResCare Community Living Overview Work in conjunction with the Care Manager to deliver to deliver integrated, whole-person care management addressing a… more
- Humana (Greenwood, IN)
- …Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or ... members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The...years of clinical experience as a nurse in providing case management or similar health care services (internal note:… more
- Genesis Healthcare (Albuquerque, NM)
- …transmitting the MDS, as required by federal and state regulations. *Manage all Medicare/ Medicaid case -mix documents at the nursing center to assure appropriate ... achievement of maximum allowable RUG categories. *Communicate with the Business Office Manager regarding case -mix data required for billing. *Educate the… more