- Rochester Regional Health (Rochester, NY)
- …under the direction of a Registered Nurse and in compliance with Medicare , Medicaid, and NYS Department of Health regulations. The LPN delivers compassionate, ... high-quality care while modeling the system's Brand Promise and Core Values. RESPONSIBILITIES: + Delivers routine nursing care and education to clients in their homes, observing and documenting signs and symptoms, and reporting health status changes to the… more
- The Arc Madison Cortland (Herkimer, NY)
- …Complete any forms for participation in insurance including, but not limited to Medicare and New York State Medicaid. + Selects therapy suited to individual's ... physical capacity, intelligence level, and interest to upgrade individual to maximum independence. + Provides therapy in functional, prevocational, vocational, homemaking skills, and activities of daily living. Benefits include but not limited to: + 401K… more
- Molina Healthcare (NY)
- …+ Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or ... healthcare compliance requirements **Ideal Candidate Attributes** + **Curious and Eager to Learn** : Interested in understanding healthcare data and willing to dig into unfamiliar topics. + **Team-Oriented** : Works well in a collaborative environment and… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Somatus (Brooklyn, NY)
- …on a monthly basis Qualifications _Required_ + Experience working with Medicare , Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical ... Nurse, Engagement Specialist or Community Health Worker Experience. + Ability to connect with people and understand the challenges they face. + Ability to use a range of outreach methods to engage individuals and groups in diverse settings. + Well connected to… more
- Guthrie (Cortland, NY)
- …complete CDN certification with NYS, if required for job responsibilities. Medicare provider number preferred. Experience: 1 year of relevant experience preferred. ... Skills: Competent in all skills of nutrition. Will have basic computer skills, Microsoft preferred. Ability to prioritize work. Must have interpersonal skills to handle confidential information, sensitive situations, and ability to work with diverse group of… more
- Fresenius Medical Center (Camillus, NY)
- …assist devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification or High School diploma ... or GED and must meet certification requirements within the required state or CMS timeline. + All appropriate state licensure education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS** + Previous patient care experience in a hospital setting… more
- Independent Health (Buffalo, NY)
- …and statistical analyses, specifically designed to support pricing and bidding for Medicare Advantage plans. Such projects will support both internal and external ... customers. The position will require working collaboration with other team members and business units throughout the organization. Also, this position will work to develop efficient processes and apply actuarial techniques and statistical analysis to several… more
- Highmark Health (Albany, NY)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... appeal letter follow up and identify education issues. (20%) + Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to… more
- KPH Healthcare Services, Inc. (Watertown, NY)
- …education/training or assistance with areas of + Stays current on LCDs, Medicare billing and dispensing guidelines + Responsible for completing all mandatory and ... regulatory training programs IE: Bridge/DME training in a timely manner or as assigned + Accepts responsibility for professional nursing + Follows and stays current with applicable state and federal laws and company Policy and Procedures and renewal of his/her… more