Appeals & Grievances Case Manager
Mass Digital Health
Mass Digital Health in Massachusetts is seeking an Appeals & Grievances Coordinator to help support the intake, review, and resolution of member and provider appeals and grievances. You'll work closely with various teams while ensuring compliance with CMS-mandated timelines and executing case management processes. The ideal candidate will have 1-3 years of related experience, strong professional writing skills, and familiarity with CMS regulations. This position requires detail orientation and effective communication across teams. #J-18808-Ljbffr
$19.5 per hour
...Overview Starting rate: $19.50/hour The Day Services Case Manager will provide an environment that fosters growth and independence through therapeutic and recreational services and will assist in the design of a developmental skills training program with the interdisciplinary...SuggestedFull time- ...intensive supervision of individuals in immigration proceedings. The program achieves positive results by combining comprehensive case management with proven supervision technology. In addition, BI maintains an extensive list of community-based partners to provide critical...SuggestedFull timeContract workLive inWork at officeLocal areaFlexible hours
$21 per hour
...Full Time Professional 7 Bishop Street, Framingham, MA, Framingham, MA, US Salary: $21.00 Hourly Summary: Provide case management services to participants in a program serving episodically homeless individuals with relapse histories. Case Management includes...SuggestedHourly payFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...Registered Nurse (RN) Case Manager - Hospice Marlborough, MA (Serving Worcester, Middlesex, Norfolk & Bristol Counties) Full-Time | Monday-Friday, 8:30 AM-5:00 PM Make a Meaningful Difference Every Day Are you a compassionate and driven nurse who believes...SuggestedFull timeMonday to Friday
$24 per hour
...Full Time Professional 7 Bishop Street, Framingham, MA, Framingham, MA, US Salary: $24.00 Hourly Summary: Provide case management services to assigned clients transitioning from emergency shelter into their own housing. Case management includes initial and ongoing...SuggestedHourly payFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...Advocates in Ashland, MA is looking for a Day Services Case Manager to provide case management and skills training support within a therapeutic day program. Candidates should possess a Bachelor's Degree or equivalent experience with individuals facing developmental disabilities...
$21 per hour
...Professional 7 Bishop Street, Framingham, MA, Framingham, MA, US Salary: $21.00 Hourly Summary: Provide stabilization case management, support services and employment support to formerly homeless clients residing in Metrowest or other area housing. Liaison with...Hourly payFull timeTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hours- The South-Middlesex-Opportunity-Council in Framingham, MA is hiring a full-time Case Manager for Supportive Housing. This role involves providing stabilization case management and support services to formerly homeless clients and ensuring their successful transition into...Full time
$86k - $129k
...VNA Care is seeking Home Health RNs for full-time or part-time Case Manager roles in Southborough, Massachusetts. Responsibilities include managing patient care in Ashland and Hopkinton territories. The ideal candidate should have a valid MA RN License and at least one...Full timePart time- ...including assisting with understanding health plan processes, appeals and grievances and removing barriers to needed services. Conduct routine... ...or addressed promptly. Collaborate with clinical care managers, behavioral health clinicians, community health workers, providers...Hourly payWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
- ...VNA Care is seeking Home Health RNs in Southborough, Massachusetts, for full-time or part-time Case Manager roles. The position involves providing care to patients, ensuring they receive the treatment they need in a supportive environment. With schedules available Monday...Full timePart timeMonday to Friday
- A community-focused organization in Massachusetts seeks a Day Services Case Manager to provide case management and skills training support to individuals. The role involves developing therapeutic service plans, assessing individuals' behaviors, and fostering community...
- Waysideyouth is seeking a dynamic Case Manager/Transitional Facilitator to support homeless young adults (18-24) in transitional housing. You will coordinate case management services, develop individual service plans, and provide employment assistance while ensuring compliance...Part timeRelocation package
$24.52 - $33.17 per hour
...Title Code: 30COM034 Role Title: Shelter Case Manager FLSA Status: Non-exempt Union Status: None Job Level: 30 Department: 21 - Community Services Pay Range: $24.52 - $33.17 per hour Reports To: Shelter Manager Supervisory Responsibilities: No...Hourly payContract workImmediate startFlexible hoursShift work$91.7k - $114.5k
...AMEDISYS HOME HEALTH is looking for a registered nurse case manager to provide patient care in various locations across Massachusetts. This full-time position offers competitive annual compensation ranging from $91,700 to $114,500, along with a $10,000 sign-on bonus....Full timeRelocation package$60 per hour
...RN Case Manager Location: Marlborough, MA and surrounding towns Duration: 13 weeks Start Date: 2-3 weeks from job offer Hours: 40 hours/week Shift: Monday-Friday 8am-4:30pm Pay Rate: $60/hr Amergis Healthcare Staffing The RN Case Manager is responsible...Weekly payContract workSecond jobLocal areaMonday to FridayShift work$21 - $21.5 per hour
...reimbursement/loan repayment options 401k with company match up to 7%! Discounts on wide array of services/entertainment nationwide The Case Manager is responsible for: Providing documented individual and group clinical services and case management to clients with mental...$91.7k - $114.5k
Amedisys is seeking a Registered Nurse Case Manager in Marlborough, Massachusetts, offering a $10,000 sign-on bonus and a competitive annual salary between $91,700 and $114,500. The role involves patient assessments, collaboration with care teams, and supervising support...Full timeRelocation package$84.01k - $176.99k
...Scheduled Hours: 8:00am - 4:30pm Shift: Day Shift, 8 Hours (United States of America) Hours: 32 Cost Center: 26000 - 4402 Case Management Union: MNA-Milford Regional Medical Center (Massachusetts Nurses Association) This position may have a signing bonus...Summer holidayImmediate startRelocation packageMonday to FridayShift workWeekend workDay shift$21 per hour
...Case Manager (Per Diem) Westborough, MA - Inpatient New England Recovery Center (NERC) Salary Range $21.00 - $21.00 Hourly Position Type Per Diem Job Shift 1st Shift/Days Education Level High School Category Entry Level Description Location: Westborough, MA...Hourly payDaily paidShift workDay shift$84.01k - $176.99k
...Scheduled Hours: 8:00am - 4:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 32 Cost Center: 26000 - 4402 Case Management Union: MNA-Milford Regional Medical Center (Massachusetts Nurses Association) This position may have a signing bonus available;...Summer holidayRelocation packageMonday to FridayShift workWeekend workDay shift$21 - $21.5 per hour
...A healthcare organization in Grafton, MA is seeking a Case Manager to provide clinical and case management services for clients with mental health and substance abuse issues. The role requires a high school diploma and one year of relevant experience; LADC I or CADAC...$98k - $108k
...Hospice Registered Nurse Case Manager (RNCM) $15,000 Sign-On Bonus! Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through meaningful...Full timeRelocation packageMonday to Friday- ...Point Of Entry/Emergency Department Case Manager At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system...Daily paidImmediate start
- ...A healthcare organization in Westborough, MA is looking for a Case Manager to provide clinical services and manage cases for clients with mental health and substance abuse issues. Responsibilities include developing treatment plans, referring clients to community services...Daily paid
- ...Job Description Job Description Summary: Provide case management services in a 19-bed program serving homeless individuals in early recovery. 10 beds are permanent beds targeted for individuals who are chronically homeless and with a diagnosed substance abuse disorder...Permanent employmentFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours
- ...C260 UMass Memorial Health - Milford Regional Medical Center, Inc is looking for a Case Manager to coordinate and facilitate patient care for an assigned group of patients. This role focuses on ensuring a well-coordinated care experience and involves assessment of discharge...Relocation package
- ...Job Description Job Description Requirements: BSN required Active MA state RN license required 3+ yr of Hospital Case management & Utilization review required BLS (AHA) Company Description LanceSoft is rated as one of the largest staffing firms in the...
- ...A leading health system in Massachusetts is seeking a Case Manager to oversee patient care management in the emergency department. Ideal candidates will possess a Bachelor of Science in Nursing, a current Massachusetts RN license, and at least three years of relevant...
$25.5 per hour
...Riverside Community Care Love what you do! Emergency Department Mobile Respite Case Manager In this vital position, the Emergency Department (ED) Mobile Respite Case Manager will work with the Mobile Crisis Intervention (MCI) team, Department of Mental Health,...Hourly payFull timeWork at officeLocal areaFlexible hours
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