- R1 RCM (Hoffman Estates, IL)
- …programs for patients unable to meet their financial obligations. + Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to ... assistance program applications and determine eligibility and coverage. + Notify manager , physician and servicing department of possible delay of service for… more
- Banner Health (Glendale, AZ)
- …need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS ... the continuum of care. 4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with...Certification for CCM (Certified Case Manager ) preferred. Additional related education and/or… more
- Virginia Mason Franciscan Health (Burien, WA)
- …patient care and utilization of resources to achieve optimal outcomes * Notify the case manager of any conflict of interest in reviewing a particular patient ... the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed * Reviews medical...in review of long-stay patients, in conjunction with the Director/ Manager of Case Management and to facilitate… more
- Banner Health (Tucson, AZ)
- …need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS ... the continuum of care. 4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with...Certification for CCM (Certified Case Manager ) preferred. Additional related education and/or… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …other duties as assigned by the supervisor. Responsibilities and Duties: Assists therapist/ case managers in the following areas: + Provides case management ... + Assures appropriate documentation of the above activities. + Assists with case management for clients from the Substance Abuse and Mental Health programs;… more
- CVS Health (Springfield, IL)
- …effectively to meet the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management, Discharge Planning and/or ... Plan (FIDE) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex...review prior claims to address potential impact on current case management and eligibility status. Assessments and/or questionnaires are… more
- Aveanna Healthcare (Houston, TX)
- …$65,000.00 - $70,000.00 per year Position Details Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna ... Aveanna Clinical Standard of Excellence. Key components include internal case management, assisting with hospital discharges, coordinating start-of-care processes,… more
- CVS Health (Columbus, OH)
- …schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares cases for clinical and legal ... review + Documents all appropriate case activity in case tracking system +...on investigations + Serves as back up to the manager as necessary + Cooperates with federal, state, and… more
- UNC Health Care (Chapel Hill, NC)
- …care clinical staff to ensure it is compliant with Medicare, Medicaid /state/federal regulations, and agency policies and guidelines; works closely with Performance ... 2. Assesses and interprets patient data as needed to provide guidance to Case Managers on patient needs relative to his/her age and conditions. Consults with… more
- ChenMed (St. Petersburg, FL)
- …The incumbent in this role is responsible for providing psychosocial assessment, social case work and linkage to community resources for patients who have chronic, ... social needs and resources available in community resource database. ** Medicaid and other benefit eligibility assessments:** + Conducts appropriate assessment… more