- Actalent (Sunrise, FL)
- …reviewing specialties, medical treatments, elective hospital admissions, rehabilitative services, home care, and out-of-plan referrals. The UMN also assists with ... internal process development, and educates physicians and team members on utilization review issues. Ensuring smooth transitions and patient satisfaction is key to… more
- Aveanna Healthcare (Fort Wayne, IN)
- …initiating and maintaining compliance with all Federal and State regulations governing Home Health Care Agencies, and ensuring compliance with Aveanna's policies ... Executive Director - Home Care ApplyRefer a FriendBack Job Details Requisition...* Plan and implement branch growth strategies * Thorough review of financial statements, activity reports, and other performance… more
- Albany Medical Center (Albany, NY)
- …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... Demonstrates proper use of MCG and documentation requirements through case review and inter-rater reliability studies.* Facilitates removal of delays and documents… more
- Help at Home (Valdosta, GA)
- **Help at home is hiring a Qualified Developmental Disability Professional!** **Now offering weekly pay with competitive rates!** We are the nation's leading ... and open in our hiring process to ensure your health and safety. Our clients, caregivers and employees will...community and funding and licensure sources. **Benefits** Help at Home strives to be an employer of choice in… more
- Ultimate Care Inc (Brooklyn, NY)
- …years of experience in Medicaid, Medicare , Billing and Collections in a home health care setting + Strong knowledge of Medicaid regulations and reimbursement ... Generate and send invoices to private pay clients for home health services provided. + Payment Processing:...be covered and obtain necessary patient signatures. + Reimbursement Review : Review Medicare reimbursement schedules… more
- Heritage Ministries (Greenhurst, NY)
- …day! Apply now! Qualifications: + Bachelor's Degree required with preference in Health Care Administration or comparable field. + Master's Degree preferred. + ... Professional license in Nursing Home Administration required. Responsibilities: + Ensure the development and...commitment to its employees, residents, and larger community. + Review monthly facility operating and budgetary statements + Ensure… more
- Houston Methodist (The Woodlands, TX)
- …discharge planning process on assigned units. + Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with ... service lines. This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient, quality care… more
- University of Rochester (Rochester, NY)
- …patients COBRA entitlement and assist with paperwork if necessary. Compliance + Review Medicare for MSP questions and validations. Investigates and corrects ... Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United...coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage… more
- Humana (Dover, DE)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient… more
- Mount Sinai Health System (NJ)
- …sitting and lifting with intermittent standing and walking._ **CONTACTS/CUSTOMERS** : Health System, Hospital, Home Care personnel, physicians both employed ... **Job Description** **Valley Health System is actively recruiting an Oncologist to...for The Valley Hospital, The Valley Hospital Foundation, Valley Home Care, Valley Medical Group, ColigoCare, and Valley Research… more