- CVS Health (Richmond, VA)
- …day. The Supervisor is responsible for oversight of LTSS/Waiver healthcare case management staff including the organization and development of high performing teams. ... post-bachelor's clinical experience for Registered Nurse License. Preferably, LTSS Case Management experience. + One of the following active and unrestricted… more
- CVS Health (Vernon, NJ)
- …and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical, behavioral, and ... expense reimbursement policy **Preferred Qualifications** + LTSS experience + Case management and/or discharge planning experience + Managed Care experience + … more
- HCA Healthcare (Asheville, NC)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... you will do in this role: + Develop short and long range management and organization plans to define responsibilities and business activities consistent with… more
- Gilead Sciences, Inc. (Foster City, CA)
- …to proactively build in lead time to execute rebate payments. * Work with management team to create a prioritized list of needs for each business segment, working ... processing across channels and customers, including Commercial plans, Medicare Part D, Medicaid and Health Exchanges, with limited supervision to meet deadlines and… more
- Point32Health (MA)
- …generate leads from a variety of sources including networking, account management , grassroots sources as well as from member referrals. **Job Description** ... selling and presentation skills. + Familiarity with MassHealth is a plus + Medicaid , Medicare and/or Long-Term Care industry knowledge helpful. + Excellent time … more
- Gentiva (Auburndale, MA)
- …workflows such as documentation of referrals, DME pickups, Medicare eligibility , insurance verifications, and patient benefit tracking * Coordinate and ... coordination * Strong understanding of hospice principles, industry regulations (Medicare, Medicaid , JCAHO, ACHC), and best practices * Familiarity with managed care… more
- Atlantic Health System (Morristown, NJ)
- …4. Helps support Chamber's ReFresh Cafe on breaks or needs assigned by management . 5. Follows the department's policies and procedures on cleaning, disinfecting and ... in a courteous and polite manner. 12. Communicates to management any and all occurrences involving staff or guests...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- HCA Healthcare (Manchester, NH)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... You will maintain a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes. You will possess a thorough… more
- Aveanna Healthcare (Oklahoma City, OK)
- …of Medical Necessity (CMN) and/or Participating Provider (PAR) * Verify monthly patient eligibility for continued services * Lead the Patient Access team to meet ... daily, monthly and quarterly metrics and goals set by management * Complete special projects as assigned by the manager. * Support, Train and Mentor Patient Access… more
- Mohawk Opportunities Inc. (Schenectady, NY)
- …Care Navigator will provide assessment, screening, navigation, and enhanced care management services to Medicaid eligible individuals. Responsibilities of the ... and timeframe. + Conduct High Risk Social Needs (HRSN) screening, conduct eligibility assessments for enhanced HRSN services and refer Members to eligible programs… more