- Molina Healthcare (Milwaukee, WI)
- …cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the staff use ... of the electronic case management documentation system in compliance with standard Molina processes, standard documentation styles, and HIPAA. Arranges training as… more
- Molina Healthcare (Kenosha, WI)
- …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...utilizing best practices to increase lead conversion + Ensure compliance with consumer protection laws (CAN-SPAM, TCPA, etc.) and… more
- Molina Healthcare (Kenosha, WI)
- …reviews and appeals. * Supports behavioral health committees for quality compliance . * Implements behavioral health specific clinical practice guidelines and medical ... review criteria. * Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for … more
- Marshfield Clinic (Beaver Dam, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... and procedures and individualizes them to meet patient needs to maintain compliance with organizational, state and federal policy and to maintain patient… more
- Marshfield Clinic (Marshfield, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... manufacturer specifications, and Clinic standards. Maintain accurate records required for compliance with all regulatory agencies. Work Shift: Wed-Wed; 10:00 am -… more
- Marshfield Clinic (Marshfield, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... Auditor is responsible for performing payment, procedural accuracy, turnaround time, compliance and operational audits as directed by management. The Claims Auditor… more
- Banner Health (WI)
- …assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state ... Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)...make needed corrections and ensure accurate coding, reimbursement, and compliance . 7. Provides mentoring for less experienced staff members… more
- Marshfield Clinic (Beaver Dam, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... federal regulations in state and federal codes and Joint Commission and coordinates compliance . 12. Assumes overall accountability for the delivery of care in the… more
- Marshfield Clinic (Rice Lake, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... Processing capabilities and procedures is necessary. Must maintain HIPAA compliance . **JOB QUALIFICATIONS** **EDUCATION** _For positions requiring education beyond a… more
- Marshfield Clinic (Stevens Point, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... to MCHS properties. The Maintenance ll maintains accurate records required for compliance with various regulatory agencies as assigned and remains current with… more