- Highmark Health (Phoenix, AZ)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
- Gentiva (Yuma, AZ)
- …applicable regulatory agencies - ie, keeping personnel records up-to-date for Medicare surveys. + Maintains updated copies of all applicable regulations, statutes, ... + Coordinates with the appropriate corporate staff, Medical Director, Clinical Manager , and Executive Director or Administrator all activity necessary to assure… more
- Banner Health (Sun City, AZ)
- …and challenges), an in-office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist ... "alone" in the field! We recognize that our nurse case managers are the key to a successful journey...than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This… more
- CenterWell (Peoria, AZ)
- …for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Quality RN Professional work assignments are ... Nursing + 3+ years of managed care experience + 3+ years of case management experience + Bilingual; English and Spanish preferred, not required **Additional… more
- Banner Health (Gilbert, AZ)
- …and challenges), an in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist field ... "alone" in the field! We recognize that our nurse case managers are the key to a successful journey...than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This… more
- Banner Health (Sun City, AZ)
- …and challenges), an in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist field ... "alone" in the field! We recognize that our nurse case managers are the key to a successful journey...than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. **$5,000 Hire on… more
- Sevita (Scottsdale, AZ)
- …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... Veterans. **This opening is following guidance set forth in the Centers for Medicare & Medicaid (CMS) Omnibus COVID-19 Health Care Staff Vaccination Interim Final… more
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