- Beth Israel Lahey Health (Beverly, MA)
- …with accuracy. Discusses difficult cases with more senior IPs and/or Medical Director (s). Assists in development of control measures or interventions related to ... (TJC), local and state departments of public health (DPH), and Centers for Medicare and Medicaid Services (CMS). 5) Serve as the primary infection prevention… more
- LA Care Health Plan (Los Angeles, CA)
- …of ECM and receives clinical supervision as needed from the Medical Director of Care Management. The position is responsible for providing oversight, feedback, ... to ECM Providers to support effective delivery of ECM services and ensure compliance with local, State, and Federal regulations, statues and guidelines. The position… more
- Gentiva (Tukwila, WA)
- …+ Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion ... Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery… more
- UNC Health Care (Smithfield, NC)
- …with patients in a clear and effective manner. 5. Assists in achieving compliance with the Joint Commission, Centers for Medicare and Medicaid Services, ... disease management, safe exercise principles, risk factor modification, medication compliance , stress management, and behavior modification. 4. Documents all aspects… more
- Diversicare Healthcare Services & Diversicare Ther (Sedgwick, KS)
- …ensure timely submission to state databases and other entities. + Ensure compliance with Medicare and Medicaid regulatory guidelines. **Qualifications** + Two ... **Overview** **Exciting Opportunity: Join Diversicare as an MDS Coordinator- RNAC and Director of Care Coordinator! $2,000 Sign on Bonus Offered!** Diversicare is… more
- Elderwood (Buffalo, NY)
- …external audits. + Maintain accurate records of all communications while upholding compliance , HIPAA, and Elderwood's values. Elderwood Values + At Elderwood, we ... requests. + Communicate authorization updates and requirements to the Rehab Director and billing department at the facility level. + Communicate denials… more
- Atlantic Health System (Morristown, NJ)
- …Serves as an advocate for patients. + Responsible for ensuring study is compliance with local and federal laws and regulations + Study Implementation. Ensures ... and SOPs. + Recruitment and Enrollment + Quality and Compliance : Performs and oversees data collection and documentation in...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Virtua Health (Marlton, NJ)
- …pain/symptom management. Re-certifying patients, as appropriate, for continuation of the Medicare Hospice Benefit at the appropriate levels of care. Assures overall ... appropriate patient referral and consistent care. Work closely with the Program Director , and Palliative Care and Hospice Team members to assure that clinical… more
- Sharp HealthCare (San Diego, CA)
- …developing the Benefits Administration team across multiple lines of business ( Medicare Commercial, Government, etc.) to ensure benefit plans are designed ... Administration team members. Assumes additional responsibilities in the absence of the Director . **Required Qualifications** + 5 Years in HMO or Health Insurance… more
- State of Minnesota (Vadnais Heights, MN)
- …across DCT. You will be responsible for all DCT Utilization Management, Medicare /Medicaid Compliance with CMS guidelines, and will lead, administer, direct, ... **Working Title: Utilization Management Supervisor** **Job Class: State Program Administrator, Director ** **Agency: Direct Care and Treatment** + **Job ID** : 89454… more