- CVS Health (Lansing, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
- Project Renewal, Inc. (Bronx, NY)
- …illness and/or substance abuse. Our comprehensive services include case management , individual and group counseling, recreational activities, and housing placement ... Disability Level II; Public Assistance Level II; Veterans benefits; Medicaid ; Medicare; HMO insurance). Active problem-prevention and problem-solving measures with… more
- City of New York (New York, NY)
- …fiscal integrity and proper disbursement of funds through NYC's Financial Management System (FMS) for services including Emergency Medical Assistance, Homecare, ... over 500 active contracts. - Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related to a class-action settlement. - Develop… more
- CVS Health (Baton Rouge, LA)
- …policy. **Preferred Qualifications** + Managed care/utilization review experience + Case management experience in an integrated model + Medicaid experience ... and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
- Child & Family Services of RI (Providence, RI)
- …of Behavioral Health, Developmental Disabilities & Hospitals (BHDDH) to provide case management services to participants who are part of the Conflict Free Case ... Management Model. The Case Manager provides in-home visits, monthly...using a person-centered approach and under the guidelines of Medicaid Long Term Supports and Services and BHDDH. The… more
- University of Rochester (Rochester, NY)
- …discharge plan, up to 1 week. Working closely with health home care management agencies, may facilitate new referrals, reinforce existing connections to health home ... services with any care management agencies and serve as a centralized in-house expert...+ Verifies health home assignments for assigned patients. Verifies Medicaid status using MAPP/Psyches as needed. + Contacts the… more
- CVS Health (Trenton, NJ)
- …can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... members to change lives in markets across the country. Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for… more
- City of New York (New York, NY)
- …ON CIVIL SERVICE EXAM # 9061. The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. ... Applying individuals and families are approved for eligibility against applicable Federal and State guidelines. Those found to be eligible can use coverage provided… more
- University of Colorado (Aurora, CO)
- …provide full-spectrum ambulatory care including, but not limited to, chronic disease management , acute and "urgent" care, and wellness and preventative care for ... discussed at the collaborative care conferences **Whole Person Pain Service Care Management (0.3-0.50 FTE)** + Address in basket, and phone messages, and providing… more
- MyFlorida (Port St. Lucie, FL)
- …order to interview and counsel applicants to determine economic indigence for eligibility for available services. Registers and maintains client record in computer ... Reach. + Experience dealing with HMO or third-party insurance for Medicare and Medicaid and working on Department of Health's Electronic Health Record Systems. +… more