- Northeast Alabama Regional Medical Center (Anniston, AL)
- …Community Facilities and on the Hospital Medical Floors to determine eligibility and identify presenting problems to be addressed. Disseminates pertinent ... needed. Works with the Program Director to ensure a 24-hour referral call management system has been functioning properly and monitored. Educate staff regularly on… more
- Salt Lake County (Salt Lake City, UT)
- …JOB SUMMARY Provides social work case management to adults in home and community-based ... Resources policy requirements. ESSENTIAL FUNCTIONS + Uses acceptable case management practices to complete intakes and comprehensive assessments/reassessments to… more
- AdventHealth (Altamonte Springs, FL)
- …**The role you'll contribute:** The Patient Care Manager is responsible for the management of multiple team(s) of clinical and support staff providing hospice and ... with federal, state and local guidelines as well as Medicare, Medicaid and insurance reimbursement requirements. Interprets requirements to determine eligibility… more
- Gentiva (Aiken, SC)
- …clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility , insurance verification, and patient benefit tracking + Coordinate and ... providers + Ensure adherence to hospice industry regulations including Medicare, Medicaid , JCAHO, ACHC **About You** **Qualifications - What You'll Bring:** +… more
- Independent Health (Buffalo, NY)
- …EGWP PDP administration preferred. + One (1) year of progressive leadership/ management responsibilities required. + Experience processing online Medicare Part D ... claims or implementing government policy related to Medicare/ Medicaid , including regulatory compliance in benefit implementation, formulary administration, pharmacy… more
- CVS Health (Jacksonville, FL)
- …and ensuring data accuracy. Other key activities include project management oversight, process improvement and documentation. **Required Qualifications** * 3+ ... **Preferred Qualifications** * QuickBase Expert or Pipelines Builder certification * 3+ Healthcare/ Medicaid experience * 3+ years provider data experience * Project … more
- CVS Health (Columbus, OH)
- …maintenance, and refinement activities and strategies in support of cross-market network management unit + Assists with the design, development, management , ... PPO products knowledge + 3-5 years related experience Medicare and/or Medicaid products knowledge + Knowledge of Kentucky/Ohio network **Preferred Qualifications:**… more
- HCA Healthcare (Jourdanton, TX)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... Supervisor participates as an active member of the nursing management team and assumes authority to manage all activities...as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A… more
- Robert Half Accountemps (Spring, TX)
- …oral and written communication skills, expert-level customer relationship management abilities, and advanced technical competence navigating computer applications. ... and documentation (Source: 2026 RH Salary Guide). + Ensure compliance with Medicaid and HIPAA standards, maintaining the confidentiality and security of client… more
- CVS Health (Hartford, CT)
- …verbal communication skills + Proficiency in Microsoft Excel, SharePoint, and case management systems + Ability to work independently and collaboratively in a ... process improvement efforts **Preferred Qualifications** - Experience working with Medicaid and Medicare programs - Familiarity with state-specific fraud… more