• Sr. Care Coordinator, Fall River/New Bedford Area

    Commonwealth Care Alliance (Boston, MA)
    …have):** + clinical license/certification (ie, LPN, Medical Assistant, CHW) **MA Health Enrollment ** **(required if licensed in Massachusetts):** + No, this is not ... 5+ years' experience working in health care + Experience with a Medicare Advantage population preferred. + Experience with Substance Use Disorders **Required… more
    Commonwealth Care Alliance (08/22/25)
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  • Hybrid Registered Nurse (RN) Clinical Care Manager…

    Commonwealth Care Alliance (Boston, MA)
    …state assigned; may require multiple state licenses based on product **MA Health Enrollment ** **(required if licensed in Massachusetts):** + Yes, this is required if ... Experience (nice to have):** + Experience working in a health plan, with Medicare Advantage and/or dually eligible population + Experience with a care management… more
    Commonwealth Care Alliance (08/21/25)
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  • Preregistration Specialist - Oral Max Surgery

    Penn Medicine (Philadelphia, PA)
    …tasks, workflow, phone calls and/or email + Obtains information to complete Medicare Secondary Payer Questionnaire and other payer specific documents as required + ... payments on deposits due, which may include screening of patients for enrollment in available credit option programs. + Effectively communicates with payer to… more
    Penn Medicine (08/20/25)
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  • RN Case Manager

    Trinity Health (Westerville, OH)
    …, a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive outreach and ... incentive program + Tuition/professional development reimbursement + Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing **About… more
    Trinity Health (08/20/25)
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  • Appeals and Grievance Specialist

    Commonwealth Care Alliance (Boston, MA)
    …and update operational processes. Complaints Monitoring: + Supports daily monitoring of Medicare and EOHHS's Complaints Tracking & Management (CTM) Module and timely ... the maintenance of updated data in Appeal/Grievance application of the member enrollment database system to ensure successful audit preparation; supports the review… more
    Commonwealth Care Alliance (08/20/25)
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  • Medical Assistant Apprentice

    Marshfield Clinic (Minocqua, WI)
    …at all times. **JOB QUALIFICATIONS** **EDUCATION** **Minimum Required:** Enrollment in ICATAP MA Apprenticeship Program **Preferred/Optional:** Completion of ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
    Marshfield Clinic (08/15/25)
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  • Licensed Social Worker - Case Manager

    Molina Healthcare (Columbus, OH)
    …a current active LSW or LISW This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position will have a case load ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
    Molina Healthcare (08/14/25)
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  • Regulatory Analyst

    Gentiva (Atlanta, GA)
    …and track a variety of healthcare regulatory applications including state licensure, Medicare , Medicaid, NPI, CLIA, CON, and accrediting bodies + Maintain detailed ... all regulatory documentation + Coordinate and manage healthcare licensure and enrollment processes across multiple locations + Support and manage regulatory-related… more
    Gentiva (08/14/25)
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  • Nurse Practitioner - Psychiatry

    Northern Rivers Family Services (Troy, NY)
    …+ National Provider Identification (NPI) - issued by the federal Center for Medicare and Medicaid Services (CMS). All electronic prescriptions in NYS require an NPI. ... be renewed every two years for those issued a prescriber registration. + NYS Medicaid Enrollment - in cases in which a Prescriber is prescribing to a NYS Medicaid… more
    Northern Rivers Family Services (08/14/25)
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  • Winter Nurse Extern Program 2025

    WellSpan Health (York, PA)
    …of two clinical semesters. Required and + High School Diploma or GED Enrollment in an accredited BSN program Preferred **Licenses:** + Basic Life Support Upon ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
    WellSpan Health (08/13/25)
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