- New York State Civil Service (Syracuse, NY)
- …detectives, data analysts, and legal support analysts to conduct complex, long -term healthcare fraud investigations. The Medicaid program provides health ... No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6417) Occupational Category Legal Salary Grade NS Bargaining… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Highmark Health (Dover, DE)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to… more
- NTT DATA North America (Montgomery, AL)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
- Elevance Health (Washington, DC)
- …Health Medical Director - Psychiatrist - District of Columbia (aka Washington DC) Medicaid ** **Location:** This role requires associates to be in-office 4 days per ... **Behavioral Health Medical Director** is responsible for reviewing cases for DC Medicaid members including pharmacy, child, and substance use disorders, and all… more
- Elevance Health (Durham, NC)
- **Behavioral Health Medical Director - Psychiatrist - North Carolina Medicaid ** **Location:** This role enables associates to work virtually full-time, with the ... The **Behavioral Health Medical Director** is responsible for reviewing cases for NC Medicaid members including child and substance use disorders, and all levels of… more
- Elevance Health (Seven Fields, PA)
- **Medical Director Associate- Psychiatrist- Pennsylvania Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- Lifespan (Rochester, NY)
- …and helping plan and maintain long -term financial security of clients. The case manager is responsible for processing Social Security, Medicaid and ... Case Manager -Financial Services Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description STATUS: Full-time (37.5… more
- BayCare Health System (Brooksville, FL)
- …and clinical excellence. BayCare Health Systems is currently seeking an experienced ** Case Manager ** to join our outstanding and compassionate team in ... **Weekend Work** : No + **On Call:** No **The Case Manager is responsible for:** + ...Preferred for all case managers. + **Targeted Case Managers required to bill Medicaid .** **Benefits:**… more
- Actalent (Jacksonville, FL)
- …adapt to changing priorities and hybrid schedules. + InterQual experience. + Certified Case Manager . + Familiarity with Medicaid /Medicare regulations. + ... Licensed Nurse in FL!! Job Description The OB RN Case Manager will coordinate care for maternal...and continuously monitoring clinical outcomes to support compliance with Medicaid contracts and promote improved maternal and neonatal outcomes.… more