• LTSS Service Care Manager - Behavioral…

    Centene Corporation (Austin, TX)
    …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
    Centene Corporation (08/30/25)
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  • LTSS Service Care Manager

    Centene Corporation (Dallas, TX)
    …medical and social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers role ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
    Centene Corporation (08/30/25)
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  • Outcomes Manager , Utilization Review, RN,…

    Virtua Health (Pennsauken, NJ)
    …of Philadelphia for pediatrics. Location: Pennsauken - 6991 North Park Dr. Remote Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time ... 3 years experience as Clinical Social Worker.Basic understanding of Medicare, Medicaid and managed care.Discharge planning or home health background.Excellent verbal… more
    Virtua Health (08/26/25)
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  • Manager , Program Integrity

    Centene Corporation (Indianapolis, IN)
    …federal requirements and monitoring trends and schemes. + Dedicated to our Indiana Medicaid product lines. + Safeguard against the potential for fraud, waste and ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
    Centene Corporation (08/21/25)
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  • Outcomes Manager , Per Diem, Float, BSN,…

    Virtua Health (Pennsauken, NJ)
    …of Philadelphia for pediatrics. Location: Pennsauken - 6991 North Park Dr. Remote Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time ... 3 years experience as Clinical Social Worker.Basic understanding of Medicare, Medicaid and managed care.Discharge planning or home health background.Excellent verbal… more
    Virtua Health (08/09/25)
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  • Outcomes Manager - RN or LSW/MSW, Part…

    Virtua Health (Mount Holly, NJ)
    …Philadelphia for pediatrics. Location: Mount Holly - 175 Madison Avenue Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: ... Homecare Coordination in an Acute Care setting; understanding of Medicare, Medicaid , managed care and discharge planning. (3-5 years preferred) Excellent verbal… more
    Virtua Health (08/08/25)
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  • Support Administrator

    Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
    …approval to DODD when services included in plans are funded through the DODD Medicaid Waivers. + Establish an individual's eligibility for services of County ... Assist individuals in choosing providers as needed. + Assist with enrollment onto Medicaid waivers as appropriate. Complete all related paperwork accurately and in a… more
    Cuyahoga County Board of Developmental Disabilities (06/10/25)
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  • Insurance Benefit Coordinator

    Planned Parenthood of Central and Western NY (Buffalo, NY)
    …initiatives relative to the evaluation, processing, and handling of Presumptive Medicaid (PEP/MAPE), Presumptive Eligibility Family Planning Benefit Program ... Insurance Benefit Coordinator Fully Remote * Buffalo, Rochester, or Syracuse, NY *...payment options when necessary + Assists in obtaining necessary Medicaid or health program eligibility documents +… more
    Planned Parenthood of Central and Western NY (08/20/25)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching ... of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare/ Medicaid criteria and Health Plan policies to ensure the referral meets all… more
    Humana (08/23/25)
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  • Senior Business Analyst III

    Cayuse Holdings (Austin, TX)
    …preference for direct, hands-on experience with Health and Human Services (HHS) integrated eligibility systems (eg, Medicaid , SNAP, TANF, CHIP). This includes a ... COMPANY:_** Cayuse Civil Services, LLC **_LOCATION_** Hybrid, Austin, TX (2 days remote | M, T, TH onsite) **_SALARY:_** $108,888- $155,563.20 The Senior Business… more
    Cayuse Holdings (09/04/25)
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