- WestCare Foundation (Miami, FL)
- …assigned. Qualifications Essential Qualifications: Certifications/Licensures: + Certification as a certified case manager in good standing and recognized by the ... reviews + Document all clinical services and activities in accord with licensing, Medicaid , and Joint Commission standards and agency policy and procedure + Conduct… more
- Prime Healthcare (North Las Vegas, NV)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and… more
- Prime Healthcare (Boonton Township, NJ)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and… more
- Prime Healthcare (Chula Vista, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …the Program Manager , this position is responsible for providing comprehensive case management and transition services to youth with chronic conditions in the ... within our Navigation Hub. The Navigation Hub is accountable for providing individualized case management support to referred patients and families. This case … more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews...Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM… more
- Fallon Health (Worcester, MA)
- …Authorization nurse in a managed care payer preferred. * One year experience as a case manager in a payer or facility setting highly preferred. * Relevant ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Carle Health (Normal, IL)
- …Degree; Master's Degree, Work Experience: Responsibilities Works collaboratively with the RN Case Manager to provide discharge planning based on assessment of ... healthcare team members to identify available facilities and services for case specific needs during and post-hospitalization. Evaluates patients for abuse/neglect… more
- R1 RCM (Marquette, MI)
- …programs for patients unable to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency ... completing assistance program applications and determine eligibility and coverage. Notify manager , physician and servicing department of possible delay of service… more
- McLaren Health Care (Charlevoix, MI)
- …reporting census information asrequested. + Consults with residents, families,the DHHS case manager , and resident attorneys to identify appropriateinsurance ... plans for billing, ensures documentation is complete, and ensuresthe Medicaid approval process is acquired within the time allowed. + Audit Admissions, Social… more