• Home Health Licensed Practical Nurse (LPN/LVN)

    Aveanna Healthcare (Brighton, MA)
    …offers both short-term and long-term care services, catering to individuals under the Medicare and Medicaid programs, as well as those with Private Insurance and ... using a variety of skills such as phone triage, patient education, observation/ assessment , wound care, infusions, catheter care, PICC line dressing changes etc Other… more
    Aveanna Healthcare (08/15/25)
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  • Billing & Certified Coding Specialist II

    Beth Israel Lahey Health (Burlington, MA)
    …compliance with coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, Medicare Website, ... an understanding of the job description, performance expectations, and competency assessment . 7. Demonstrate a commitment toward meeting and exceeding the needs… more
    Beth Israel Lahey Health (08/08/25)
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  • Hospice RN Case Manager

    Beth Israel Lahey Health (Plymouth, MA)
    …and ears" of the physician in the home or facility, communicates an accurate assessment of the patient's condition to the physician and offers expert guidance on ... in all settings except the acute care hospital + Provides an initial assessment in conjunction with established LCD guidelines to ensure patient meets criteria for… more
    Beth Israel Lahey Health (06/05/25)
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  • Social Worker II - Framingham/Marlborough- Growing…

    Fallon Health (Worcester, MA)
    …to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **About… more
    Fallon Health (07/16/25)
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  • Home Health Salaried Registered Nurse Full Time…

    Aveanna Healthcare (Worcester, MA)
    …Develop a plan of care through physician orders, client input, and nursing assessment to include medical interventions and measurable goals and outcomes. + Educate ... using a variety of skills such as phone triage, patient education, observation/ assessment , wound care, infusions, catheter care, PICC line dressing changes etc.… more
    Aveanna Healthcare (07/08/25)
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  • Encounter Data Management Professional

    Humana (Boston, MA)
    …regulations or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare , Medicaid, and DSNP encounter processes and policies. + Working ... receive correspondence inviting you to participate in a HireVue assessment . You will have a set of questions, and...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/16/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Boston, MA)
    …to implement corrective action plans + Develops compliance communication for risk assessment and corrective action plans for the Chief Compliance Officer's reporting ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge… more
    Prime Therapeutics (07/25/25)
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  • Resident Care Coordinator Assistant (Rcca)

    Athena Health Care Systems (Southbridge, MA)
    …the Resident Care Coordinator in the day-to-day activities of the Resident Assessment Process. Experience & Education: + Previous experience with the MDS process ... have been edited by interdisciplinary team members. + Tracks and schedules all Medicare certifications and recertification. + Mails and tracks all Medicare more
    Athena Health Care Systems (07/23/25)
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  • Home Health LPN

    Tufts Medicine (Lowell, MA)
    …licensure. + Collects relevant data and documents the information according to Medicare record policy & procedure. + Completes all nursing documentation per ... orders, etc. + Derives a holistic nursing diagnosis from comprehensive patient assessment and prioritizes same according to patient need. Nursing diagnoses are… more
    Tufts Medicine (07/06/25)
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  • Authorization & Billing Specialists

    Ophthalmic Consultants of Boston (Plymouth, MA)
    …commercially insured patients with manufacturer copay support services . Registers Medicare and Medicare Advantage patients with foundation copay support ... to read and understand ophthalmic/retina office notes including exam documentation, assessment , and plan, and to understand provider's decision-making based on the… more
    Ophthalmic Consultants of Boston (07/03/25)
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