- HonorHealth (AZ)
- …education courses, professional journals, etc., as well as DNV and Medicare . Evaluates patients per the Department Operating Policy. Demonstrates sound clinical ... needs, status, and discharge plans. Provides timely, proactive feedback to case managers and other key personnel regarding discharge needs, including recommended… more
- HonorHealth (AZ)
- …penalties to the patient, health system and physician. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. Collaborates with ... Case Management to ensure patient status is correct and documentation is provided to insurances as needed. Creates and/or updates hospital account. Obtains and enters… more
- 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 ... Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify… 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, ... the implementation phase of contracts to assure that discharge planning and case review functions are understood and agreed to by contracting institutions; and,… more
- HonorHealth (AZ)
- …education courses, professional journals, etc. as well as DNV and Medicare requirements. Evaluates patients per Department Operating Policy. Demonstrates sound ... and discharge plans. Communicates any speech pathology discharge recommendations to case managers and other key personnel. Participates in interdisciplinary rounds… more
- HonorHealth (AZ)
- …penalties to the patient, health system and physician. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. Collaborates with ... Case Management to ensure patient status is correct and documentation is provided to insurances as needed. Creates and/or updates hospital account. Obtains and enters… more
- HonorHealth (AZ)
- …education courses, professional journals, etc., as well as DNV and Medicare requirements. Evaluates patients per the Department Operating Policy. Demonstrates sound ... needs, status, and discharge plans. Provides timely, proactive feedback to case managers and other key personnel regarding discharge needs, including recommended… 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 (Phoenix, AZ)
- …paperwork faxed to PBO. Adheres to all billing procedures including preparation of Medicare billing at the end of the month within specific timelines. 3. Responsible ... offices, third party payors, vendors, clinical staff, ancillary staff, therapist, nurses and case managers. Also interacts with physician in order to report and ask… more
- CommonSpirit Health (Phoenix, AZ)
- …capitated hospitals. + Contracts may include letters of agreement and single case agreements at the direction of senior leadership. + Maintains supportive ... Working knowledge of state and federal programs such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per diems,… more