- UCLA Health (Los Angeles, CA)
- …the financial sustainability of the hospital system. Reporting to the Director of Reimbursement, you will ensure accurate financial reporting, maximize Medi-Cal ... and other teams to ensure financial accuracy and policy compliance . You will also lead audit response efforts, support...this role, you will: + Prepare and file annual Medicare and Medi-Cal cost reports; lead audit responses for… more
- University of Miami (Miami, FL)
- …+ Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population preferred + ... Completion of Medicare annual wellness exam documentation preferred + Knowledge of...between patient care services and collaborative teams. + Ensures compliance with regulatory and maintains credentialing, competencies, and professional… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Under the general supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical denial ... as an informed clinical resource to support hospital billing compliance , post payment audit and other hospital functions and...trends; including denials that have been escalated to the Medicare Administrative Law Judge (ALJ). + Represent DFCI at… more
- Gentiva (Auburndale, MA)
- …Patient Care Manager Senior, You Will:** * Report directly to the Executive Director or Administrator * Lead and support a high-performing hospice program, ensuring ... excellent care delivery and regulatory compliance * Supervise, teach, evaluate, and develop nursing and clinical associates to promote clinical excellence and… more
- AdventHealth (Hinsdale, IL)
- …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... policies and procedures and ensures quality patient care and regulatory compliance . Actively participates in outstanding customer service and accepts responsibility… more
- Aveanna Healthcare (Worcester, MA)
- …regulatory standards, and Aveanna policies to ensure top-tier care and compliance . + Provide On-Call Leadership:Be a consistent, reliable resource for clinical ... Serve as Clinical Leadership:Step up as the clinical lead when the Clinical Director is unavailable. Who You Are: + ARegistered Nursewith strong clinical judgment,… more
- Beth Israel Lahey Health (Boston, MA)
- …one or more units/service lines with support from more IP3-4s and Medical Director (s). Those in the IP2 position will receive ongoing training and professional ... unit leadership, as necessary. (essential) 3) With support of IP3-4s and/or Medical Director (s) and IPC leadership, work up patient and staff exposures to select… more
- STG International (Milledgeville, GA)
- …and procedures at least annually and make changes to ensure continued compliance with current regulations as necessary. *Ensure the development, implementation and ... the effectiveness of those interventions when necessary. *Assist the Medical Director in the development and implementation of medical and nursing services… more
- Bon Secours Mercy Health (Sheffield Village, OH)
- …OF JOB RESPONSIBILITIES:** Under the direct supervision of the administrative director (or his physician designee) and administrative direction of the Department ... Director , provides outpatient clinical services (individual, group, family, couples)...direct, billable treatment services to Mercy Health Physicians, in compliance with Department and BSMH policies, procedures, and Standards… more
- University of Pennsylvania (Philadelphia, PA)
- …rates. + Work with the Unit Manager to conduct monitoring of research finance compliance with the Medicare Clinical Trial Policy, including review of key ... (OCR) in the Perelman School of Medicine and reports directly to the Executive Director of the OCR. Job Description The Accountant C is an integral member of… more