- CVS Health (Harrisburg, PA)
- …clinical tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates ... CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management, discharge planning,...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Centene Corporation (Jefferson City, MO)
- …by assessing the business implications of complex contract language to ensure compliance with federal and state regulatory requirements and contracting ... advising negotiators on contract language, legal strategy, and state and federal requirements relating to provider networks. Draft, review and/or negotiate contracts… more
- CVS Health (Trenton, NJ)
- …using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates ... CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. Ability to occasionally travel within a designated...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- CVS Health (Harrisburg, PA)
- …+ aligning negotiation strategies and tactics with network accessibility, quality, compliance and financial performance goals + Supports the complete value based ... context of provider contracting + Experience with Commercial and Medicare contracting + Strong financial modeling background + Resident...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Adecco US, Inc. (Henderson, NV)
- …with providers to clarify clinical information and explain determinations . Ensure compliance with Medicare Part D, Medicaid, and commercial plan guidelines ... Sick Leave or any other paid leave required by Federal , State, or local law, as well as Holiday...applicants with arrest and conviction records in accordance with federal , state, and local laws and/or security clearance requirements,… more
- Allaire Rehab & Nursing (Freehold, NJ)
- …admits to staff, to facilitate a smooth transition. + Maintain a waiting list in compliance with state and federal guidelines. + Maintain a working knowledge of ... Federal and State regulations and reimbursement (Managed Care, Medicare , and Medicaid). + Provide assistance with new Stakeholder orientation regarding the… more
- CVS Health (Chicago, IL)
- …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 ... tools and information/data. - 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
- CVS Health (Haddonfield, NJ)
- …models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... at interdisciplinary case conferences + Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational… more
- Sysco (Houston, TX)
- …that traditionally require expertise around nutritional requirements, regulatory compliance , menu development, disaster planning, and Group Purchasing Organizations. ... tools and referrals to consultant RDs to help customers meet federal and state requirements. Additionally, support customer's emergency preparations related to… more
- Trinity Health (Livonia, MI)
- …and reimbursement Federal , State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures ... secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs… more