- Ventura County (Ventura, CA)
- …office. Experienced in leading and training staff on Managed Care, Medicaid , Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and ... IV may also include: + Advises and consults with management on how to reduce the days in accounts...or conducts training on the specific areas of Managed Care/ Medicaid /Medi-Cal/Medicare and/or Commercial Insurance; + Works with the billers… more
- City of New York (New York, NY)
- …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... are approved for eligibility against applicable Federal and State guidelines. Those found...Unit imposes limits on State identified over utilizers of Medicaid services to a primary physician, clinic, pharmacy or… more
- State of Massachusetts (Boston, MA)
- …' s Autism Waiver program, funded through the Centers for Medicare and Medicaid (CMS), provides in home behavioral services for young children with a diagnosis ... individualized support. The Autism Clinical Manager provides targeted case management , technical assistance, and administrative oversight necessary to ensure all… more
- Stark County Board of Developmental Disabilities (Canton, OH)
- …addressing behavioral or medical emergencies, on-call responsibilities, etc.); + Assures Medicaid Eligibility is maintained for individuals on caseload; + ... they have free choice of provider, as applicable; + Completes daily Targeted Case Management (TCM) notes to document all services delivered, TCM notes are subject to… more
- Humana (South Miami, FL)
- …connect them to the associate automatically + Employs a variety of case management strategies, approaches and techniques to manage a member's case. + Identifies ... through a screening process for potential eligibility for state and federal benefits. + Ensures member...center environment specifically but not limited to Medicare & Medicaid recipients + Previous experience with electronic case note… more
- New York State Civil Service (Marcy, NY)
- …Center is recruiting for Social Work Assistant 2 to provide case management and service coordination activities for individuals with mental illness. Candidates from ... families to gather background information* Preparing case histories and determining eligibility for services* Advocating and assisting individuals in identifying and… more
- Actalent (St. Louis, MO)
- Job Title: Pharmacist Job Description Join our mission to provide care to Medicaid patients through telehealth and phone consultations. As a pharmacist case manager, ... comprehensive treatment plans. Responsibilities + Provide telehealth and phone consultations to Medicaid patients. + Act as a case manager to support patient needs.… more
- MyFlorida (Daytona Beach, FL)
- …the correct insurance and processes all claims accordingly. Research claims for Medicaid , Medicare and other third party insurance. Contacts insurance carriers when ... for CPT and ICD codes or accuracy. Maintains a working knowledge of Medicaid , Medicare and various insurance billing policies, which includes but is not limited… more
- Ascension Health (Austin, TX)
- **Details** + **Department:** Ascension Care Management Insurance + **Schedule:** Full-Time **,** 8-hour shifts, Rotating Monday - Sunday. Flex hours on days Monday ... to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors...understanding of Marketing to grow Dell Children's Health Plan Medicaid and CHIP membership, and retain existing members. This… more
- New York State Civil Service (New York, NY)
- …Center is recruiting for Social Work Assistant 1 to provide case management and service coordination activities for individuals with mental illness. Candidates from ... families to gather background information* Preparing case histories and determining eligibility for services* Advocating and assisting individuals in identifying and… more