- UPMC (Washington, PA)
- The Manager oversees the day-to-day operations of the Case...year of hire & complete within 3 years of enrollment 3 YOE required; 3 YOE in Care Management, ... management department under the direction of the Director. The Manager is accountable for the following Case Management functions: training, auditing, systems… more
- Humana (Wisconsin Rapids, WI)
- …our caring community and help us put health first** Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the ... Wisconsin Family Care (FC) program . In this dynamic role, you will collaborate closely...to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care management… more
- CVS Health (Secaucus, NJ)
- …+ **External = $7500** **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in **Hudson County and surrounding ... and follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support health service strategies, policies, and… more
- Trinity Health (Westerville, OH)
- …Full time **Shift:** Day Shift **Description:** RN Case Manager , Full-time **Why Mount Carmel?** With five hospitals ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive outreach and… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** The Strategic Project Manager is responsible for the successful implementation of Waystar solutions by leading the team and the client ... an intimate understanding of healthcare specific billing requirements, reimbursement, enrollment , and patient billing and payments. The successful candidate will… more
- Molina Healthcare (Columbus, OH)
- …have 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 and manage members enrolled in this program . We are looking for Registered Nurses who have...of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a… more
- Molina Healthcare (Clinton Township, MI)
- …license (RN) in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Community Well team. This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have...of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a… more
- Salt Lake County (Salt Lake City, UT)
- …successful applicant must pass a required background check through fingerprinting and enrollment in the continuous RAP Back (Record of Arrest and Prosecution Back) ... program in accordance with current County Human Resources policy...Utah Caregiver Support rules and regulations + Medicaid and Medicare rules and regulations + Assessment methodologies and techniques… more
- Blue KC (Kansas City, MO)
- …off** **Professional development courses, mentorship opportunities, and tuition reimbursement program ** **Paid parental leave and adoption leave with adoption ... financial assistance** **Employee discount program ** **Job Description Summary:** The Broker Development and Engagement Specialist will oversee and support Blue KC's… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Group ... in up to a year-long on the job training program that develops knowledge and skills needed to progress.... Discusses the proposed plan and funding designs with manager . Gathers information, develops options and consults with sales/service… more