- Centene Corporation (Winter Haven, FL)
- …8:00 AM - 5:00 PM (local time). Key Responsibilities: + Provide case management support for members in their homes or facilities + Collaborate with healthcare ... receive high-quality, person-centered care Ideal Candidate: + Background in case management , healthcare, or social/community services + Strong ability to build… more
- Centene Corporation (New York, NY)
- …action plans, and report on achievement of action plans to senior management and Board of Directors + Develop strategic relationships with state legislative ... public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives + Identify, evaluate and analyze the impact… more
- Mount Sinai Health System (Queens, NY)
- …a candidate who excels in clinical practice, medical education, and organizational management to take the Department of Cardiology at Elmhurst Hospital Center to ... the next level. Candidates should be board-certified with management or leadership experience. The Director will lead clinical...**Qualifications** + Valid New York State license, DEA and Medicaid number + MD or DO, with board certification… more
- University of Virginia (Charlottesville, VA)
- …within the Department of Plastic Surgery. This full-time role focuses on the management of patients with chronic, non-healing wounds in both inpatient and ambulatory ... experienced in providing comprehensive care, including evaluation, diagnosis, and management and treatment of chronic wounds, pressure injuries, neuropathic ulcers,… more
- Sanford Health (Fargo, ND)
- …prevent disease or disability. Counsels' patients and family members about self- management on prevention and treatment plan for health issues, tailoring instructions ... of regulatory processes and payer systems such as Medicare, Medicaid , managed care, and private sources, as applicable. Demonstrate...plus + Duties to Include: + Independent patient care management of patient panel + Panel to start would… more
- CDPHP (Latham, NY)
- …system, and regression testing preferred. + Two (2) years' experience with a test management tool - such as QA Symphony or other tool, is preferred + Experience ... of all types of health insurance enrollment, billing, and document management processing including, but not limited to, individual, group, governmental, and… more
- CVS Health (Warren, 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
- Riverside Community Care (Dedham, MA)
- …working for Riverside! (https://www.youtube.com/watch?v=yh5\_qJ-SZ7o) Required Skills + Experience with Medicaid and contract management desired. + Excellent ... setting or other complex environment. + Working knowledge of member eligibility verification, benefits/services, claims management , and quality management… more
- CVS Health (Baton Rouge, LA)
- …plan implementation and Aetna member education during in-home visits, help develop care management strategies, and work with team members to provide linkages for the ... socio- economic issues that affect their overall health and develop health/social management plans and goals. + Identify gaps and opportunities to strengthen systems… more
- Molina Healthcare (Dallas, TX)
- …two (2) years of healthcare experience is required + Previous dental, case management , pediatric, and/or Medicaid managed care experience is preferred **Required ... who maybe need assistance scheduling or locating a dental provider. Case Management services are intended for members with significant medical, physical, dental,… more