- 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
- CVS Health (Haddonfield, 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
- Molina Healthcare (GA)
- …_** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... and provider network and are responsible for end-to-end relationship and management . They are responsible for provider contracting, provider training, network … more
- City of New York (New York, NY)
- …exercise of independent judgement, initiative, and decision-making, serve as the Medicaid Assistance Program (MAP) and HomeCare Services Program (HCSP) Director, ... and regulations to write and develop operational instructions for the MAP/HCSP eligibility divisions. These operational instructions can be in the form of procedural… more
- Volunteers Of America Colorado (Commerce City, CO)
- …Manager Aging and Nutrition Services, primary is responsible for the overall management and coordination of the Denver Metro Congregate Dining Program, which ... programs. Responsibilities include guiding program development, budget planning, grant management , compliance monitoring, and contributing to department-wide strategic initiatives… more
- MyFlorida (Orlando, FL)
- …of administrative services (Finance (AR/AP), Purchasing, Budget, Contracts and Facility Management . The incumbent serves as the County Health Department's Chief ... appropriate regulatory procedures. Oversee accounts payable including the preparation of the Medicaid cost-based report and ensure that DOH A/R standards are met.… 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