- Highmark Health (Charleston, WV)
- …3 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Case Management Certification **LICENSES AND CERTIFICATIONS** ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- 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
- CVS Health (Charleston, WV)
- …preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management, Discharge Planning, and/or ... to_ _10 to 25%_ _travel_ _within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise_ Help… more
- CVS Health (Springfield, IL)
- …preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management (CM), discharge planning, ... all with heart, each and every day. **Position Summary** Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care… more
- Amergis (Framingham, MA)
- …experience in a rehabilitation setting . Familiar with discharge planning and Medicare guidelines . Familiar with case management standards/guidelines . EMR ... Haverhill, MA who is currently seeking a qualified RN Case Manager/Discharge Planner to assist them on a contractual...of the position include: Location: Haverhill, MA Position: RN Case Manager/Discharge Planner Duration: . 8 weeks to start… more
- BAYADA Home Health Care (Orlando, FL)
- …for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to ... Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review… more
- Medical Mutual of Ohio (OH)
- …the state of Ohio. We are looking for applicants that have a strong clinical case management background. Medicare experience is a plus. Founded in 1934, Medical ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision,… more
- Genesis Healthcare (Albuquerque, NM)
- …MDS Nurse -- RN manages the overall process and tracking of all Medicare /Medicaid case -mix documents to ensure appropriate reimbursement for all services ... Medicare /Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must maintain current BLS/CPR… more
- Actalent (Orlando, FL)
- …FL Job Description We are seeking an RN Case Manager to perform telephonic case management for Medicare Advantage members in the state of Florida. The ... and building new cases in Athena (EMR). Responsibilities + Perform telephonic case management for Medicare Advantage members. + Conduct care coordination… more
- Henry Ford Health System (Wyandotte, MI)
- …of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. ... Mother Baby Unit GENERAL SUMMARY: The Case Manager is a member of the hospital...and family's health care needs. The goals of the case manager are to promote patient safety, quality of… more