Benefits & Eligibility Specialist II Job at Wyoming Department of Transportation (Cheyenne)

Medicaid Enrollment and Outreach Specialist I

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

23.51 - 30.16 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree (preferred)
Limited experience with Medicaid programs
1-2 years of experience in case management or related field or equivalent combination of education and experience
Foundational knowledge of public benefit rules and regulations (preferred)
Demonstrates professionalism, motivation, and strong communication (written and verbal)
Possesses customer service skills and the ability to work independently and solve problems in an interdisciplinary team
NY State of Health Certified Application Counselor (preferred)
Must provide and maintain a valid NYS Class 5 driver’s License

Job Responsibility

Counsels, guides, advises and provides outreach services to patients requiring public benefits including Medicaid, Child Health Plus, NYS Marketplace Exchange or other public entitlements
Accountable for coordinating all activities and necessary documentation needed to secure appropriate benefits
Resolves complex problems related to this process
Shares expert public benefits knowledge by providing consultation to physicians, social workers and other Health System staff whose patients require benefit assistance for payment and discharge planning
Benefit Management: apply for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings
Provides application assistance to patients referred by University of Rochester Health System staff through face-to-face interaction, telephone contact and home visitation for patients requiring assistance
Referral Coordination: Responsible for assessing referrals to determine eligibility for potential benefits and develops a plan of action to secure each
Communicates, coordinates and develops professional relationships with internal departments and external agencies
Monitoring Caseload, Documentation, and Reports: monitor caseload and is responsible for accurate and timely documentation in requisite systems
Reviews productivity reports and prepares status updates as required by management

Fulltime

New

Care Management Specialist II

Established in 1997, L.A. Care Health Plan is an independent public agency creat...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses
Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping

Job Responsibility

Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice
contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits
conducting comprehensive clinical assessments as indicated
developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence)
Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies
Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions
Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Senior Lecturer/Associate Professor in Literacy

As a Senior Lecturer / Associate Professor in Literacy, you will play a key role...

Location

Australia , Albury-Wodonga, Bathurst, Port Macquarie, Wagga Wagga

Salary:

Not provided

Charles Sturt University

Expiration Date

June 08, 2026

Requirements

A doctoral qualification relevant to literacy or education, with a recognised teaching qualification
A strong record of high-quality teaching and student-centred learning
An established or emerging research profile aligned to literacy, curriculum or pedagogy
The ability to build productive partnerships and contribute to academic leadership

Job Responsibility

Lead impactful literacy teaching and research
Teach across online and on-campus environments
Shape future teachers and education practice
Contribute to curriculum innovation
Build strong relationships with students and partners
Provide academic leadership in literacy education
Contribute to the School's research profile
Supervise higher degree research students
Actively engage with professional, community and government stakeholders
At Associate Professor level: significant academic leadership, research impact, and contribution to the broader discipline at national/international level

What we offer

17% superannuation

Fulltime

New

Program Manager - Controls and Avionics Solutions

This position is based in Endicott, New York. New York and on-site work will be ...

Location

United States , Endicott

Salary:

120874.00 - 205486.00 USD / Year

Baesystems

Expiration Date

Until further notice

Requirements

Bachelor’s degree in engineering, engineering or manufacturing management, or other discipline
Demonstrated ability for building strong customer/ stakeholder relationships
Strong communication, negotiation, and presentation skills
Ability to interpret data and make data-driven decisions
Highly adaptable with strong initiative
Demonstrated ability to lead and motivate cross-functional teams
Knowledge of the global aviation market and regulatory requirements and/ or military aviation market

Job Responsibility

Maintaining strong customer relationships and leading a multidisciplinary team to execute complex development programs within schedule and budget
Leadership and management oversight of a project team assuring that project’s financials, schedule, and technical objectives are met and that the highest level of customer satisfaction is achieved while meeting all contractual commitments
Work effectively and collaboratively with Engineering, Operations, and all Program Office functional leadership to assure deliveries continue to exceed customer commitments and achievement of financial commitments to the company
Manages, coordinates, plans, organizes, controls, integrates, and executes projects within the Military Aircraft Systems portfolio
Participates in the support of new business and in the development of proposals

What we offer

Health insurance
Dental insurance
Vision insurance
Health savings accounts
401(k) savings plan
Disability coverage
Life and accident insurance
Employee assistance program
Legal plan
Discounts on home, auto, and pet insurance

Fulltime

New

Finance Business Partner (Research)

Full Time, Fixed Term (12 months). Level 7 - $101,421 to $110,819 p.a. (plus 17%...

Location

Australia , Wagga Wagga

Salary:

101421.00 - 110819.00 AUD / Year

Charles Sturt University

Expiration Date

June 02, 2026

Requirements

A degree in Accounting or Finance (professional accounting body membership is desirable)
Experience in project budgeting, forecasting and financial analysis
Background in management accounting or business partnering within complex environments
exposure to government funding or higher education is advantageous
Excellent stakeholder engagement skills, with the ability to work effectively with academics and researchers
Familiarity with business intelligence systems and dashboard reporting

Job Responsibility

Partner with academics to deliver strategic financial insights that enable research success
Directly influence world-class projects and decisions shaping the future of education and innovation
Lead initiatives that enhance financial governance, deliver accurate and timely reporting, and support key projects such as cost-pricing systems and research budgeting
Help build financial capability across the University, fostering collaboration and continuous improvement

What we offer

Flexibility with a 35-hour work week
Access to hybrid work arrangements
17% superannuation

Fulltime

New

Associate Lecturer/ Lecturer in Oral Health

Make a real impact by educating future oral health professionals to serve the ur...

Location

Australia , Wagga Wagga

Salary:

80046.00 - 134965.00 AUD / Year

Charles Sturt University

Expiration Date

June 16, 2026

Requirements

A qualification relevant to the discipline and appropriate to the level being applied for
Full registration (for teaching/research) as a Dentist or Oral Health Therapist with the Australian Health Practitioner Regulation Agency (Ahpra)
Excellent understanding of the clinical practice of oral health therapy, supported by a record of teaching and subject coordination relevant to the discipline and appropriate to the level being applied for
Evidence of the delivery of high quality student-centred learning and teaching in oral health therapy and/or general dentistry
A record of research activity or capability relevant to the discipline and appropriate to the level being applied for, as outlined in the position descriptions, may facilitate the progression of research opportunities

Job Responsibility

deliver high-quality teaching, clinical supervision and learning experiences in Oral Health
work with students in both clinical and preclinical settings while contributing to curriculum development, industry engagement and community partnerships

What we offer

Generous support provided to assist with relocating to Riverina’s beautiful Wagga Wagga or surrounds
17% superannuation

Fulltime

New

Change Analyst

As Change Analyst you will provide specialist change management expertise to sup...

Location

Australia , Albury-Wodonga, Bathurst, Dubbo, Orange, Wagga Wagga

Salary:

101421.00 - 110819.00 AUD / Year

Charles Sturt University

Expiration Date

June 03, 2026

Requirements

Relevant qualifications and/or equivalent experience in organisational change and transformation
Experienced in applying change management frameworks and methodologies to large-scale/complex organisational initiatives
Skilled in analysing change impacts and shaping clear, targeted responses in policy-driven environments
Strong communication and interpersonal skills

Job Responsibility

Provide specialist change management expertise to support the successful planning and implementation of the Models of Engagement and Assessment initiative
Lead change analysis, stakeholder engagement planning and adoption activities to enable a sustainable transition to new models of course delivery and assessment.

What we offer

Competitive salary and benefits including 17% super
Flexible working arrangements that support a healthy work-life balance

Fulltime

Select Country

Benefits & Eligibility Specialist II

Wyoming Department of Transportation

Location:
United States , Cheyenne

Category:
Public Sector

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 21, 2026

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