- Cognizant (Little Rock, AR)
- **About the role** **Schedule:** M-F **Traveling Required:** 40% As a Medicaid Eligibility Delivery Director, you will make an impact by overseeing access, ... to evaluate results, mitigate regulatory risks, and foster continuous improvement across eligibility activities. + Manager leaders who supervise all daily … more
- CVS Health (Columbus, OH)
- …an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- CVS Health (Columbus, OH)
- …an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... them with appropriate resources and support services. The Care Manager provides education and guidance to members and their...learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community resources and… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. Job Summary: The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under minimal ... supervision, the Care Manager researches and analyzes a member's medical and behavioral...or other direct patient care experience. Previous experience with Medicaid , Medicare Advantage and/or DSNP patient populations with multiple… more
- CVS Health (Springfield, IL)
- …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 ... delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements,… more
- NTT America, Inc. (San Juan, PR)
- …of this RFP. + Minimum of two (2) years of experience in Medicaid eligibility processes, including policy, determinations, and enrollment. + Bachelor's degree ... organization, apply now. We are currently seeking a Account Manager to join our team in San Juan, Puerto...to the Puerto Rican population. + Strong knowledge of Medicaid eligibility processes, including policy, determinations, and… more
- WellSense (NH)
- …our members, no matter their circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members throughout the ... data, motivational interviewing techniques and evidence-based practices, the Clinical Care Manager engages with the member and the multidisciplinary team to develop… more
- Trinity Health (Livonia, MI)
- …vision, goals, and values of Trinity Health. Other duties as assigned by manager . **Hourly pay range: $17.1538 - $25.7307** ** Remote Work Opportunity** **Hours: ... pre-registering patients for outpatient radiology exams. Electronically verifying insurance eligibility & accurately identifying & collecting patient financial responsibility.… more