- 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
- AmeriHealth Caritas (Washington, DC)
- …education and business experience. + Master's Degree preferred. + 2 to 3 years Medicaid and/or Medicare experience preferred. + 1 to 3 years managing dual ... is consistent with claim payment methodologies. + Maintains familiarity with State Medicaid fee schedules and analyzes comparable Plan pricing guidelines. + Resolves… more
- Excellus BlueCross BlueShield (Rochester, 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
- 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
- City of New York (New York, NY)
- …CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6. 1 .9 TITLE CHANGE. The HIV/AIDS Services Administration (HASA) is the primary mechanism ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more
- Fallon Health (Boston, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care for the ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...for MassHealth programs such as the personal care attendant program , adult foster care, group adult foster care, and… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicaid members in the Dallas, TX serviced delivery ... will be given to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as… more
- State of Minnesota (St. Paul, MN)
- …Title: Office of Addiction and Recovery Deputy Director** **Job Class: State Program Administrator, Manager Principal** **Agency: Mn Management & Budget** + ... / annually + **Classified Status** : Classified + **Bargaining Unit/Union** : 220 - Manager /Unrep + **FLSA Status** : Exempt - Executive + Designated in Connect 700 … more