• LTSS Service Care Manager - Behavioral…

    Centene Corporation (San Antonio, TX)
    …personal assistance/social services, and providing patient advocacy and education to Medicaid member + Experience in FIELD-BASED Social Worker or FIELD-BASED Case ... 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 (12/05/25)
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  • Outcomes Manager , MSW, LSW, Part Time

    Virtua Health (Mount Holly, NC)
    …Philadelphia for pediatrics. Location: Mount Holly - 175 Madison Avenue Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: ... 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 (12/03/25)
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  • Manager , Business Transformation

    Centene Corporation (Nashville, TN)
    …will have a demonstrable track record of building and supporting large scale Medicaid TPL/COB solutions at a Health Care Payer or Health Care Services organization, ... 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 (11/26/25)
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  • Manager , Claims Quality Review

    Centene Corporation (Indianapolis, IN)
    …access to competitive benefits including a fresh perspective on workplace flexibility. **Indiana Medicaid and Managed Care** **Must be authorized to work in the US ... 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 (11/23/25)
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  • Senior Manager , Business Compliance…

    CVS Health (Phoenix, AZ)
    …Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... support other projects as needed based on business need This position can be remote or hybrid depending on candidate location and commutable distance to a nearby… more
    CVS Health (11/05/25)
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  • Case Services Aide V Adult Protective Services

    Adams County Government (Westminster, CO)
    …walk-in clients, via fax, or by mail. This position also determines initial eligibility for Health First Colorado (formally Medicaid ), including Long Term Care. ... work. More Qualifications for Success Experience: Three (3) years experience determining eligibility in CBMS for Medicaid . Education and Training:High school… more
    Adams County Government (11/01/25)
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  • Care Navigator

    Centene Corporation (Carson City, NV)
    …benefits including a fresh perspective on workplace flexibility. Must reside in Nevada! ** Remote Care Navigator - Nevada Medicaid | Centene** Centene is hiring ... ** Remote Care Navigator** to join our **Nevada Medicaid team** ! In this impactful role, you'll help...resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare… more
    Centene Corporation (11/15/25)
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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 (10/03/25)
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  • LTSS Program Specialist, Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program, this position supports the ... with members of group with the oversight of the Manager , LTSS Program o Schedule regular check in meetings/calls...* Roster Reporting and Reconciliation o Partner with CCA's Eligibility Team to obtain and perform data entry on… more
    Commonwealth Care Alliance (10/18/25)
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  • Social Worker - Field (Central New Jersey)

    CVS Health (Trenton, NJ)
    …in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...a continuum of care through appropriate information and referral. ** Remote Work Expectations** + This is a remote more
    CVS Health (11/23/25)
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