• RN Case Manager non Medicare

    Comfort Keepers of St. Cloud, MN (Monticello, MN)
    This is a Non- medicare company. Comfort Keepers is looking for another Registered Nurse to join our team. RN nursing team is responsible for completing skilled nurse ... visits in client homes and provide RN oversite of caregivers/CNAs. This position will work M-F 8am-430pm. No weekends, evenings or holidays. Comfort Keepers is a locally owned and operated licensed home care franchise since 2004. With over 800 Comfort Keepers… more
    Comfort Keepers of St. Cloud, MN (05/22/25)
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  • Nurse Case Manager - Community Care…

    Fallon Health (Worcester, MA)
    …follow us on Facebook, Twitter and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare ...**Member Assessment, Education, and Advocacy** + Telephonically assesses and case manages a member panel + May conduct in… more
    Fallon Health (04/19/25)
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  • Medicare Behavioral Health Case

    Fallon Health (Worcester, MA)
    …and service and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral and ... with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider...assessments with members and forward results to the Nurse Case Manager or PCP as indicated. Documents… more
    Fallon Health (04/16/25)
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  • Remote Care Manager (RN) - must reside…

    Molina Healthcare (Olney, IL)
    **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a Remote Case Manager working with our Medicare members in south central Illinois ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (05/16/25)
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  • Field Care Manager , Ltss (RN) - Cook…

    Molina Healthcare (Chicago, IL)
    **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a Field Case Manager working with our Medicare members in Cook County. This ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (04/19/25)
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  • Case Manager RN - Field (PA)

    CVS Health (Chester Springs, PA)
    …and keyboarding + Bachelor's degree + Discharge planning or home health care with Medicare members + Certified Case Manager or Additional national ... network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment,… more
    CVS Health (05/17/25)
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  • MDS Coordinator (RN)

    Cassia (Des Moines, IA)
    …MDS assessments and observations. + Develop initial and temporary care plans. + Assist Case Manager with Medicare scheduling, monthly billing, charting, and ... referral records, and reports. + Work in collaboration with Admissions staff, Case Manager , and Supply Coordinator. + Display a courteous attitude and respect… more
    Cassia (05/24/25)
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  • Telephonic Care Manager (RN)…

    UPMC (Pittsburgh, PA)
    …this fantastic new opportunity! UPMC Health Plan is hiring a full-time Telephonic Care Manager to support the Medicare line of business within the Allegheny Care ... through Friday with occasional evenings and weekends required. The Telephonic Care Manager is responsible for care coordination and health education for identified… more
    UPMC (05/21/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
    Centers Plan for Healthy Living (04/15/25)
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  • Medical Director- Medicare

    Elevance Health (St. Louis, MO)
    ** Medicare Medical Director** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director** is responsible for the administration of physical and/or behavioral… more
    Elevance Health (05/20/25)
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