• Clinical Specialist - Full-time Days Varies, Dept…

    Atlantic Health System (Morristown, NJ)
    …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical ...members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific… more
    Atlantic Health System (07/02/25)
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  • Registered Nurse, Per Diem Days, Pediatric…

    Atlantic Health System (Morristown, NJ)
    …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical ...members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific… more
    Atlantic Health System (06/18/25)
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  • Head of Contracts & Pricing

    Takeda Pharmaceuticals (Boston, MA)
    …Experience and in-depth knowledge in obtaining reimbursement withthird party commercial payers, Medicare Parts D and B, Medicaid , VA/DOD, integrated payer ... your best. In this highly visible role, the Sr. Director will lead the strategic and analytic aspects of...-- Department of Veterans Affairs (VA), Federal SupplySchedule (FSS), Medicaid , Department of Defense (DOD) -- and OncologyGPOs. This… more
    Takeda Pharmaceuticals (07/12/25)
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  • Manager, Care Services

    The ALS Association (Seattle, WA)
    …required. + Experience with progressive neurodegenerative disease. + Knowledge of Medicare , Medicaid , patient assessments skills, planning and case management ... AND RESPONSIBILITIES: + Receive referrals and obtains all necessary patient, medical , demographic information, and documents from referral sources via various… more
    The ALS Association (08/29/25)
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  • Behavioral Health Nurse - Managed Care

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    medical necessity for the requested level of care/patient status to the Medical Director . + Proactively identifies and resolves delays and obstacles for safe ... of resources, avoidable days/denials. Works in collaboration with Appeals Management/ Medical Director in the appeals process. +...accurately and in a timely manner. + Adheres to Medicare and Medicaid regulatory guidelines as it… more
    DOCTORS HEALTHCARE PLANS, INC. (09/14/25)
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  • Clinical Dietitian-outpatient

    University of Utah Health (Salt Lake City, UT)
    …analysis. + Knowledge of federal requirements set forth under the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoP) and/or ... Conditions of Coverage (CoC) in order to receive Medicare / Medicaid payment. **Qualifications** **Qualifications** **Licenses Required** + Registered Dietitian… more
    University of Utah Health (08/26/25)
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  • NP/PA, Neurology, Movement Disorders Division

    Albany Medical Center (Albany, NY)
    …or obtain a National Provider Identifier (NPI) issued by the US Center for Medicaid and Medicare services + Excellent verbal, writing, and interpersonal skills + ... Range: $0.00 - $0.00 The APP works in collaboration with the Director of the Movement Disorders Division, physician faculty, clinical nurses, clinical research… more
    Albany Medical Center (07/23/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity ... departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee… more
    Excellus BlueCross BlueShield (08/28/25)
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  • Patient Care Manager Senior

    Gentiva (Lubbock, TX)
    …functions, including documenting referrals, new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining ... and practice, including industry standards, regulations, and best practices (ie, Medicare , Medicaid , JCAHO, ACHC), company policies/procedures, and understanding… more
    Gentiva (08/15/25)
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  • Operations Specialist

    Aveanna Healthcare (Sherman Oaks, CA)
    …any time with or without notice. Vaccine Requirement As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (09/06/25)
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