- Select Medical (Milwaukee, WI)
- …to maintain a healthy work-life balance + **Your Health Matters** : Comprehensive medical /RX, health, vision, and dental plan offerings for full-time team members + ... accordance with policy and procedure, and training and in compliance with regulations set forth by the corporation, state,...with regulations set forth by the corporation, state, and federal agencies. + Conduct all tasks necessary for preparation… more
- Select Medical (Madison, WI)
- …or other appropriate treatments as directed, and documents activity appropriately. + Ensures compliance with State and Federal regulations for patient care and ... **Pay: $30 per hour** At Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically ill or post-ICU patients who… more
- CenterWell (Madison, WI)
- …provide care for patients via virtual visits. Visit types conducted will focus on Medicare Wellness visits and acute same day visits. **Patient Care:** + The Acute ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...data, policy, procedure, and records issues. + Assures personal compliance with licensing, certification, and accrediting bodies. + Use… more
- St Croix Hospice (Eau Claire, WI)
- …to facilitate program growth. Additional Duties + Maintains knowledge of and compliance with current Medicare /Medicaid, state/ federal rules and regulations ... medical care, palliates and manages terminal illness in compliance with the state Nurse Practice Act under the...for hospice services + Ensures compliance with the Medicare conditions of participation… more
- Marshfield Clinic (Weston, WI)
- …uninsured and underinsured patient referrals to assess and assist with their medical , social and financial needs. The individual reviews financial assistance and ... of health care coverage opportunities available through local, state or federal and pharmaceutical programs and Foundation grants, and assists with outreach… more
- Fresenius Medical Center (Fitchburg, WI)
- …a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... policies, procedures and systems are incorporated into training, including compliance with ethical business practices. **PATIENT RELATED:** Education:Assist other… more
- St. George Tanaq Corporation (Madison, WI)
- …and Skills** + One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare compliance or related ... evidence, regulations, policies, and procedures + Conducts research using online federal regulations, contract policy, standards of medical practice, contract… more
- CVS Health (Madison, WI)
- …setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify clinically ... Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit...ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of… more
- Humana (Madison, WI)
- …and help us put health first** The Regional VP, Health Services relies on medical background to create and oversee clinical strategy for the region. The Regional VP, ... interrelate across segments and/or enterprise-wide. **Regional VP of Health Services, Humana Medicare Advantage** As the Regional VP of Health Services, you will… more
- Elevance Health (Waukesha, WI)
- …claims, and membership data to verify coverage and resolve discrepancies. + Maintain compliance with vendor SLAs, state and federal guidelines, and employer ... secondary coverage, utilizing NAIC, CMS, MSP, ERISA, and other federal and state regulations. + Analyze comprehensive data sources...for more complex issues such as coordination of benefits, Medicare , and medical policies. + Works closely… more