- 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
- Care Initiatives (Waterloo, IA)
- …nursing community located in Waterloo, IA, is now hiring! Business Office Manager (BOM) Location: Ravenwood Specialty Care- Waterloo, IA Schedule: Full-time Business ... Office Manager - Make a Real Impact Are you a...paid time off (PTO), and more. + Referral Bonus Program : Get rewarded for referring qualified candidates to our… more
- J&J Family of Companies (San Bernardino, CA)
- …States, San Bernardino, California, United States **Job Description:** **Field Reimbursement Manager (Immunology Rheumatology) - Orange County, CA - Johnson & ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Riverside,… more
- Commonwealth Care Alliance (Boston, MA)
- …cross-functional projects and meeting deadlines. + Strong understanding of Medicare, Medicaid , duals program , and health plan operations, including regulatory ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- City of New York (New York, NY)
- …and recommend risk reduction activities. - Assess Department's compliance with the Medicaid Compliance Program , Federal Uniform Guidance, New York City ... Health and Mental Hygiene (DOHMH) is seeking an Audit Manager to join DOHMH's Bureau of Audit Services, the...who reports to Assistant Commissioner of Audit Services and Medicaid Compliance Officer. DUTIES WILL INCLUDE BUT NOT BE… more
- City of New York (New York, NY)
- …and recommend risk reduction activities. - Assess Department's compliance with the Medicaid Compliance Program , Federal Uniform Guidance, New York City ... Health and Mental Hygiene (DOHMH) is seeking an Audit Manager to join DOHMH's Bureau of Audit Services, the...who reports to Assistant Commissioner of Audit Services and Medicaid Compliance Officer. DUTIES WILL INCLUDE BUT NOT BE… more
- Humana (Little Rock, AR)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care… more
- Equinox, Inc (Albany, NY)
- Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... with both mental illness and developmental disabilities that need 24/7 support Apartment Program - Adults who live in one- or two-bedroom apartments and are ready for… more
- CDPHP (Latham, NY)
- …in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and ... in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid ) and benefits, preferred. + Strong… more
- Atlantic Health System (Morristown, NJ)
- …to act as advocate to patients. Job Function: 02. Coordinates with Director/ Manager in maintaining a safe environment of care. Criteria: Assists in maintaining a ... as The Joint Commission, etc. Job Function: 03 Collaborates with the Director/ Manager in areas of daily operational and strategic needs. Anticipates the needs for… more