- MVP Health Care (Tarrytown, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to ... Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or... Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
- City of New York (New York, NY)
- …TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and ... of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This...and Federal guidelines and procedures. - Complete the required case action utilizing the Welfare Management System (WMS) and… 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
- Elevance Health (Winston Salem, NC)
- …may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid . May be responsible for ... **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- CVS Health (Bloomfield, NJ)
- …writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face ... Member assignment may include pediatric population and medically complex cases. The case manager is responsible for coordinating and collaborating care with… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP)...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- BayCare Health System (New Port Richey, FL)
- …responsibility and clinical excellence.BayCare Health Systems is currently seeking an experienced ** Case Manager ** to join our outstanding and compassionate team ... **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
- WestCare Foundation (Fort Lauderdale, FL)
- Case Manager Job Details Job Location Fort Lauderdale - 1777 S Andrews Avenue Ste 300 - Fort Lauderdale, FL Position Type Full Time Education Level 4 Year Degree ... Range $21.63 - $21.63 Hourly Description Position Summary: The Case Manager plays a vital role in...services and activities timely in accord with certification, licensing, Medicaid , accreditation standards and agency policy and procedure +… more