- Aveanna Healthcare (Boston, MA)
- …to include: o All components of performance management * Enforces and demonstrates compliance with all State and Federal Regulations, Medicaid Regulations, and ... all operational services for their area of responsibility. Working within the federal , state, and regional regulations covering home health/care the Area Vice… more
- CenterWell (Orlando, FL)
- …Qualifications** + Basic knowledge of Population Health Strategy + Bachelor's Degree + Medicare knowledge + Managed care experience + Bilingual in both English and ... Interagency Language Rating (ILR) test as provided by the Federal Government. **Benefits** Humana offers a variety of benefits...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CVS Health (Detroit, MI)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... interdisciplinary case conferences + Utilizes case management processes in compliance with regulatory and company policies and procedures. +...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Trinity Health (Columbus, OH)
- …administrative staff across multiple departments. + Ensure compliance with federal , state, and accreditation standards (eg, Medicare COP, Hospice licensure, ... national origin, disability, veteran status, or any other status protected by federal , state, or local law. Our Commitment to Diversity and Inclusion Trinity… more
- Trinity Health (Pontiac, MI)
- …payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information ... ROI & impacts. **Maintains a Working Knowledge** of applicable federal , state & local laws / regulations, Trinity Health...& local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to appropriate community resources. Maintains a thorough working knowledge of Medicare , Medicaid and private payer regulations and processes. Maintains broad ... continuity of care, accurate reimbursement to the organization, and compliance with regulatory requirements. Obtains and communicates information through timely… more
- Humana (Austin, TX)
- …and pharmacist licensure, pharmacy shared services, occupational/facility licensure, PBM, and federal healthcare preemption public policy at the state level while ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CVS Health (Winchester, KY)
- …our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. ... Components** + Focus on enhancing quality of care, ensuring compliance , improving outcomes, and reducing costs. + Develop and...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- National Health Care Associates (Wethersfield, CT)
- …that may affect reimbursement + Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding ... or Nurse Assessment Coordinator experience preferred + Knowledge of state and federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0,… more
- CVS Health (Hartford, CT)
- …digital and assisted channels. + Deliver a scalable data solution for Medicare that seamlessly integrates with enterprise data strategy, enabling analytics, ... compliance , and cross-business value. + Collaborate with stakeholders across...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more