- Elevance Health (Wilmington, NC)
- \#HealthyBlueCareTogetherCFSP **IDD Specialty Care Manager ** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a statewide ... Medicaid Plan designed to support Medicaid -enrolled infants,...Polk, Swain, Transylvania, Yancey, Macon, Jackson, Mitchell. + Region 2 counties: Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba,… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical)… more
- Excellus BlueCross BlueShield (Dewitt, 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 (Honolulu, HI)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid… more
- CVS Health (Harrisburg, PA)
- …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
- Molina Healthcare (Jacinto City, TX)
- …Opportunity for a Texas licensed RN to join Molina to work with our Medicaid members in the East Central part of Houston, completing assessments needed for ... to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Lakeview Health Services (Geneva, NY)
- …to client service. Job Summary: With general supervision of the Care Management Program Manager , works from a trauma informed care perspective to provide ... and advancing their lives? Join our Team! EMPLOYMENT OPPORTUNITY ($ 2 ,500 SIGN ON BONUS) Title : Health Home Plus...SIGN ON BONUS) Title : Health Home Plus Care Manager Job Requisition No.: 1718 Program :… more
- MyFlorida (Miami, FL)
- …409.920, Florida Statutes. These matters include but are not limited to: fraud against the Medicaid Program , false claims against the Medicaid program , ... 2 ) from completing the commission-approved basic recruit training program . (10) Achieve an acceptable score on the officer...law pertaining to fraud in the administration of the Medicaid program , investigate allege abuse or neglect… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. Under executive direction of the… more