- Community Health Systems (Wilkes Barre, PA)
- …for diagnostic tests. + Verifies the medical necessity of scheduled tests for Medicare patients and ensures compliance with payer requirements. + Refers ... appointments across multiple departments, including diagnostic tests, procedures, and specialist consultations. + Ensures appointments are scheduled based on… more
- CenterWell (Columbia, SC)
- …(KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management + Spend 20-50%… more
- UHS (Binghamton, NY)
- …ensure compliance with Joint Commission, NYS DOH, Infection Control, Medicare , and other regulatory standards + Participates in ongoing educational opportunities ... related. + American College of Sports Medicine (ACSM) Certified Exercise Specialist (CES) or Registered Clinical Exercise Physiologist (RCEP) + American Association… more
- Marshfield Clinic (Wausau, WI)
- …of a vocational technical Health Unit Coordinator, Medical Office Specialist , or Medical Secretary program. **EXPERIENCE** **Minimum Required:** Excellent written ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Rochester Regional Health (Rochester, NY)
- …Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities. + Assists with special projects including but not ... plan for special medical management studies/reports required to ensure regulatory compliance . + Provides ongoing support to the Utilization Committee as assigned.… more
- Avera (Sioux Falls, SD)
- …4,000 nationwide to achieve a double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great! **Position Highlights** **This ... Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Associate (CCA) + American Academy of… more
- AdventHealth (Wauchula, FL)
- …the health care team. Provides care based on physician's orders, in compliance with policies and procedures, standards of care, and regulatory requirements. ... Degree in Nursing + Recent, relevant experience in a Medicare -certified home health agency as a case-manager + Home...+ Home Health Case-Manager Certification + Certificate for OASIS Specialist - Clinical This facility is an equal opportunity… more
- Banner Health (Gold Canyon, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This...physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and… more
- Atlantic Health System (Morristown, NJ)
- …care projects and items. + Preference given to candidates with Board Certification as Specialist in an area suitable for care in an acute care setting. + 0-4 ... highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its...& Auto, Identity Theft and Legal Insurance Note: In Compliance with the NJ Pay Transparency Act (effective Sunday,… more
- Centene Corporation (Austin, TX)
- …Reside in the State of Texas** **Call Center Experience a Plus** **Medicaid/ Medicare experience a plus** **Position Purpose:** Assists in developing, assessing, and ... ongoing long-term care plans/service plans and works to identify providers, specialist , and/or community resources needed for long-term care + Coordinates as… more