• RN Clinical Manager- Home Health

    BAYADA Home Health Care (Fuquay Varina, NC)
    Health Care is seeking a **Clinical Manager (RN required)** for our **Fayetteville, NC** Medicare Certified, **Home Health ** office. Do you want to be part of ... overseeing daily clinical operations and ensuring that all home health nursing services comply with Medicare regulations,...holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k… more
    BAYADA Home Health Care (09/02/25)
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  • Audit & Reimbursement Senior

    Elevance Health (St. Louis, MO)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... is a proud member of Elevance Health 's family of brands. We administer...and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The… more
    Elevance Health (09/09/25)
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  • Population Health Clinical Pharmacist

    Banner Health (Phoenix, AZ)
    …of pharmacy services to Insurance Division members, including commercial, Medicare , Medicaid populations within owned/operated health plans as well as ... This position supports all aspects of pharmacy services within the Banner Health Insurance Division, including utilization management, care management, and… more
    Banner Health (09/14/25)
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  • PT or OT Rehabilitation Manager, Home…

    BAYADA Home Health Care (Dartmouth, MA)
    …successful Physical Therapist or Occupational Therapist should have prior experience in Medicare Home Health . This position offers the successful candidate the ... experience + Prior clinical and managerial experience within a Medicare Certified Home Health agency + Comprehensive...holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k… more
    BAYADA Home Health Care (08/16/25)
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  • Clinical Service Specialist (Full time, day shift)

    Penn Medicine (Lancaster, PA)
    …provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , ... OR one (1) year administrative data entry experience in a medical facility, health insurance or business setting. (Required) + One (1) year of clerical, customer… more
    Penn Medicine (09/13/25)
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  • Clinical Service Specialist - Full Time

    Penn Medicine (Gap, PA)
    …provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , ... OR one 1 year administrative data entry experience in a medical facility, health insurance or business setting. + One 1 year of clerical, customer service, or… more
    Penn Medicine (09/04/25)
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  • Bilingual Pre-Authorization Specialist

    Cognizant (Minot, ND)
    …communication skills + Strong attention to detail **Preferred Qualifications** + Medical/ Health Insurance knowledge + Medicare background ... summarize medical portion of the file + Makes and receives calls from health insurance companies to verify eligibility and benefits + Acquire medical chart notes… more
    Cognizant (09/10/25)
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  • Home Health RN Nurse Manager

    BAYADA Home Health Care (Honolulu, HI)
    …as necessary. **Qualifications:** + An active Hawaii Registered Nurse license. + Home Health experience preferred. + Recent Medicare Certified Home Health ... seeking a **full-time Clinical Manager (RN required)** in our Medicare certified **Oahu Visits office in Honolulu, Hawaii** ....holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k… more
    BAYADA Home Health Care (08/24/25)
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  • Case Manager

    Robert Half Legal (Sherman Oaks, CA)
    …Responsibilities: * Manage claims processing with various insurance carriers, including health insurance providers, Medicare , and MediCal. * Resolve ... records and bills. * Proven ability to manage claims processing with insurance carriers and resolve property damage claims. * Strong organizational skills with… more
    Robert Half Legal (09/09/25)
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  • Transplant Recovery Specialist

    Houston Methodist (Houston, TX)
    …within Centers for Medicare & Medicaid Services (CMS), OPTN, Health Insurance Portability and Accountability Act (HIPAA) regulatory compliance throughout ... **EDUCATION** + Associate degree or higher or a graduate from an applicable Health Care Technical program **WORK EXPERIENCE** + Three years of healthcare experience,… more
    Houston Methodist (07/08/25)
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