- CVS Health (Winchester, KY)
- …Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate ... all necessary care covered by their benefit plans and available through Medicaid and community resources. + Build relationships with hospital social workers and… more
- Corewell Health (Dearborn, MI)
- …to 7:30 am, Every other weekend. A Wing is a 58 bed Medicare/ Medicaid unit that has residents with multiple clinical issues including CHF, dehydration, cellulites, ... and personal satisfaction. B Wing is a 40 bed Medicare/ Medicaid /Dementia unit. We provide care to residents with a...retirement options with service contribution and match savings + Eligibility for benefits is determined by employment type and… more
- UnityPoint Health (Des Moines, IA)
- …commitment reports Documentation and Administrative Functions . Maintain licensure . Maintain eligibility to bill for government payers (ie, not on the Medicaid ... compliance requirements for federally funded healthcare programs (eg, Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any questions or concerns… more
- HCA Healthcare (El Paso, TX)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes, and possesses...a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes. You will… more
- HCA Healthcare (San Antonio, TX)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... the organization and meets the requirements or regulations of JACHO, Medicare, Medicaid , and appropriate licensing or certified boards. The supervisor is responsible… more
- CVS Health (Salt Lake City, UT)
- …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you will collaborate with members, the ... + Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. + Familiarity with community resources and services. + Navigate… more
- CVS Health (Columbia, SC)
- …willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community resources and services. + Ability ... **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members. + Experience working with individuals with SDoH needs,… more
- Gentiva (Stockbridge, GA)
- …and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility , obtaining authorization and reauthorization as needed, commercial insurance ... including industry standards, regulations, and best practices (ie, Medicare, Medicaid , JCAHO, ACHC), company policies/procedures, and understanding of terminally ill… more
- CVS Health (Hartford, CT)
- …it all with heart, each and every day. **Position Summary** Support the Medicaid Pharmacy team, including forecasting, reporting and pharmacy analytics across all ... Medicaid states. Perform actuarial functions by applying expanded quantitative...retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the… more
- State of Arkansas (Little Rock, AR)
- …notes, and incident reports. Ensure compliance with Arkansas state laws, Medicaid requirements, and facility policies. Assist in conducting assessments and ... evaluations to determine resident eligibility for services. Monitor and report changes in resident conditions to the appropriate supervisors and healthcare… more