- CVS Health (Kalamazoo, 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
- Atlantic Health System (Morristown, NJ)
- …match + Comprehensive Malpractice Policy + Non-Profit Health System - eligible for Federal Student Loan Forgiveness + Generous PTO, annual sick days, and paid ... 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
- CenterWell (San Antonio, TX)
- …+ Knowledge of HEDIS measures and quality indicators + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated ... Interagency Language Rating (ILR) test as provided by the Federal Government. \#nursepractitionercareers \#physicianassistantcareers \#LI-KB2 **Scheduled Weekly Hours** 40… more
- Marshfield Clinic (Weston, WI)
- …501(c)(3) organization. This may qualify you for additional state and/or federal education loan forgiveness programs._ Marshfield Clinic can support a variety ... the needs of patients and customers first.** **Exclusion From Federal Programs: Employee may not at any time have...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- CVS Health (St. Paul, MN)
- …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. + Minimum 2+ years CM, discharge planning...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …performance metrics in specific categories of revenue cycle (productivity, compliance , accuracy, effectiveness, timeliness, and efficiency). + The role is ... advanced knowledge of medical terminology, anatomy and physiology, billing regulations, Medicare & NCCI guidelines, insurance coverage limitations and managed care… more
- Marshfield Clinic (Minocqua, WI)
- …501(c)(3) organization. This may qualify you for additional state and/or federal education loan forgiveness programs. MCHS strongly encourages our physicians to ... the needs of patients and customers first.** **Exclusion From Federal Programs: Employee may not at any time have...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Highmark Health (Jefferson Hills, PA)
- …policy/procedure. (25%) + Patient Population: + Outpatient Techs: Validates Medicaid, Medicare , or commercial insurance drug coverage and ensures adjudication is ... includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well...all individuals based on any category protected by applicable federal , state, or local law. We endeavor to make… more
- Highmark Health (Natrona Heights, PA)
- …Network (CIN) to enhance the quality and value of care delivered to Medicare beneficiaries. + You will collaborate with practices to engage patients who may ... includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well...all individuals based on any category protected by applicable federal , state, or local law. We endeavor to make… more
- AdventHealth (Orlando, FL)
- …improvement of the network as assigned by the Chief Medical Officer Supports compliance with all State and Federal regulations Qualifications **KNOWLEDGE AND ... practice experience **_Experience Preferred_** _:_ . Understanding of hospital Utilization Management/ Medicare Regulations . Two years or greater experience as a… more