- Baylor Scott & White Health (Dallas, TX)
- …Health. Responsible for the accuracy and integrity of the credentialing database system . Functions as a Coordinator Credentialing to assure optimum performance of ... of Healthcare Organizations (TJC) and Center for Medicare and Medicaid Services ( CMS ) and other regulatory agencies as they pertain to medical staff and… more
- UCLA Health (Los Angeles, CA)
- …and members. + Documents all review findings and decisions in the case management system and supports reporting initiatives. + Educates providers and staff ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...and support the decision-making process. + Ensures compliance with CMS , state, federal, and UCLA Health standards. + Reviews… more
- Covenant Health Inc. (Knoxville, TN)
- …in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, ... serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes...needs and in accordance with the Joint Commission, HIPAA, CMS and other related State and Federal guidelines. ###@covhlth.com… more
- Bozeman Health (Bozeman, MT)
- …with electronic health records (EHR) systems (preferably Epic) and compliance/audit management tools. + Intermediate knowledge of CMS guidelines, payer ... supporting regulatory surveys/investigations and accreditation standards (eg, Joint Commission, CMS Conditions of Participation). + Experience in small to mid-size… more
- Golden Route Operations (Las Vegas, NV)
- …the glass is approximately half full + Input orders accurately into POS system using the Universal Seating guidelines + Resolve guest complaints ensuring guest ... satisfaction and communicates situation to management + Explain to guests how the players club...promotions etc. + Print cash and/or comp vouchers from CMS , reprint player cards from CMS , issue… more
- WelbeHealth (Pasadena, CA)
- …role in achieving our mission by performing skilled duties at home under CMS approval, bringing convenient and necessary care to our participants' homes. Under the ... after site licensure or in the event of pandemic/stay at home order with CMS approval to provide necessary care in the home. **Essential Job Responsibilities:** +… more
- Rochester Regional Health (Rochester, NY)
- …Days SUMMARY: Review all inpatient medical necessity denials for the health system based on InterQual and/or CMS guidelines. Responsibilities include managing ... Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week:...review the denials that do not meet InterQual and/or CMS guidelines for his/her recommendation regarding appeal options. +… more
- Golden Route Operations (Laughlin, NV)
- …number of new player sign ups each month. + Knowledge working with LMS and CMS when evaluating guests play and able to make sound comping decisions. + Knowledge on ... access and input information using a moderately complex computer system . + Knowledge on how to book a reservation...regulations + Perform any other duties as assigned by management . + Provide outstanding guest service to all internal… more
- Robert Half Office Team (San Diego, CA)
- …Assist clients in navigating various systems, including Epic Software and Avaya CMS . * Support organizational goals by adhering to established protocols and ... (Word, Excel, PowerPoint). * Experience with tools like ADP, Epic Software, and Avaya CMS is preferred. * Bilingual in Spanish and English is highly desirable. *… more
- Avera (Aberdeen, SD)
- …matrix/patient estimator tools and posts payments correctly to the payment processing system . + Maintains customer relations at a very positive level as evidenced ... patients of telephone consumer protection act, insurance information, referring physicians, and CMS required documentation) such as IMMs, MOON, and OBVs, etc. +… more