- BAYADA Home Health Care (Fayetteville, NC)
- …is seeking a **Clinical Manager (RN required)** for our **Fayetteville, NC** Medicare Certified, **Home Health** office. Do you want to be part of providing care ... initiatives. They will lead and support a team of clinicians in delivering Medicare -certified home health services. The Nurse Manager is also responsible for… more
- Beth Israel Lahey Health (Wakefield, MA)
- …taking a job, you're making a difference in people's lives.** The Care Manager , RN provides care management services to the BILHPN primary care physicians focusing ... and efficient outcomes; and decrease total medical expenses. The Care Manager , RN assesses, plans, implements, coordinates, monitors and evaluates options and… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract, contract parties and the data. Supporting the negotiation ... at Baycare Health Partners. The Sr. Managed Care Contract Manager , will also perform research and collect data to...and regulatory rules 2) Will be responsible for hospital Medicare and Medicaid cost report filings, audits, and settlements… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Intensive Case Manager (NY HELPS), New York City Children's Center, Bronx Campus, P26040 Occupational Category ... - Statewide (NY HELPS) program as an Intensive Case Manager if they have:* Bachelor's degree in social work,...for full and unconditional participation in the Medicaid and Medicare programs. If you receive an appointment, your continued… more
- BAYADA Home Health Care (Austin, TX)
- …Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and SLP's ... the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review...Perform related duties, or as required or requested by Manager /Director. **Qualifications:** + Competency in PC skills required to… more
- Highmark Health (Camp Hill, PA)
- …budgetary responsibility and authority. + As a seasoned Group Retiree market expert ( Medicare Advantage, Medicare Supplement, Part D, Medicare Exchanges) ... Continuously monitor and maintain knowledge of the Commercial, Group Retiree and Medicare markets and competition. + Develop strategies and tactics to optimize… more
- UCLA Health (Los Angeles, CA)
- …lead the preparation and review of financial and statistical information for Medicare and Medi-Cal cost reports. You will collaborate across departments to ensure ... Prepare, review, and analyze financial and statistical data for Medicare and Medi-Cal cost reports. + Serve as the...cost reports. + Serve as the primary contact for Medicare and Medi-Cal audits, supporting auditors and resolving inquiries.… more
- WTW (Charlotte, NC)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... are always the source of our success. The **Performance Manager ** plays a vital role in driving excellence within...in telemarketing or call center settings. + Knowledge of Medicare Advantage, Medicare Supplement, Life Insurance, Prescription… more
- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ** ... Medicare Appeals Clinical Leader** to lead service delivery engagements...lead service delivery engagements and improve end-to-end delivery of Medicare Appeals. Desire experience specifically for processes for clinical… more
- BAYADA Home Health Care (Columbia, SC)
- BAYADA Home Health Care is seeking a **Client Services Manager ** in our **Columbia, SC Medicare Certified Home Health Visits Office.** If you are looking for an ... career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...management of your caseload by monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.) + Client Services… more