• OCI Peer Assistant Case Manager

    Mental Health Association of SCK (Wichita, KS)
    …consumer's treatment plan goals. 4. Maintains accurate and timely documentation of service provision per MHA, MCO/ Medicaid , and COMCARE guidelines and contracts. ... Non-Exempt REPORTS TO: Sr. Director of Adults and Children's Services , Coordinator of Operation Community Integration POSITIONS SUPERVISED: N/A POSITION… more
    Mental Health Association of SCK (08/11/25)
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  • Utilization Management Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and post- service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' medical health conditions, ... and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Inpatient Care Manager (RN): Per Diem…

    Atlantic Health System (Morristown, NJ)
    …grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. ... occasional weekends. The ideal candidate will be responsible for providing care and services of selected member populations across the continuum of illness,… more
    Atlantic Health System (07/21/25)
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  • Client Relations Executive Home Health

    Dignity Health (Santa Maria, CA)
    …in determining if a patient would benefit from home care or hospice services and/or 2) explain Medicare and Medicaid guidelines, insurance plan benefits, ... a way that a caring family provides. As a member of the Catholic Health Initiatives (CHI) family, our...services - all recognized for quality safety and service . Marian's offers Santa Maria Valley residents access to… more
    Dignity Health (09/25/25)
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  • Special Education Instructional Strategist II:…

    Davenport Community Schools (Davenport, IA)
    …student is progressing towards grade level skills and/or standards.* Implement services outlined in each individual's IEP with fidelity.* Establish clear objectives ... classes and show written evidence of preparation upon request of immediate supervisor . + Develop individualized educational plans that meet State and Federal… more
    Davenport Community Schools (10/08/25)
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  • Manager, Care Management

    Humana (Springfield, IL)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... to ensure compliance with state contracts on performance metrics and to ensure member needs are met. + Develop reporting tools in collaboration with leadership to… more
    Humana (08/29/25)
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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …+ Coordinates the delivery of staff training necessary to maintain mandated levels of services . + Monitors service delivery to ensure that services conform ... NOT APPLY". 11 Do you have one year of work experience providing clinical services in an intensivefield-based(provides service in a myriad of community settings,… more
    The County of Los Angeles (10/03/25)
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  • Supervising Health Facilities Evaluator, Nursing

    The County of Los Angeles (Los Angeles, CA)
    …+ Yes + No 11 Do you possess any Centers for Medicare and Medicaid Services (CMS) Specialty Certifications? If your answer is yes, forEACH CERTIFICATEyou ... am, Pacific Time (PT) This examination will remain open until the needs of the service are met and is subject to closure without prior notice. This announcement is… more
    The County of Los Angeles (09/03/25)
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  • Patient and Family Relations Specialist

    Dana-Farber Cancer Institute (Boston, MA)
    …on Accreditation of Healthcare Organizations and the Center for Medicare and Medicaid Services ' Conditions of Participation regulations regarding patient rights. ... Relations, the Patient / Family Relations (P/FR) Specialist serves as an integral member of the Quality and Patient Safety Department (QPS), participating in various… more
    Dana-Farber Cancer Institute (08/22/25)
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  • Cashier

    MyFlorida (La Belle, FL)
    …the Health Management System (HMS) billing function. Identifies method of payment for service received (cash, bill to Medicaid , Medicare, Private Insurance, or ... accordingly. Acts as an interpreter when needed. Cashiers' client services from super bill, collecting past due fees for...supporting documentation with each submission that includes character of service (for example, DD Form 214 Member more
    MyFlorida (10/14/25)
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