- National Health Care Associates (Plantsville, CT)
- …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of… more
- Dignity Health (Bakersfield, CA)
- …Equivalent work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC - Certified ... types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to… more
- Catholic Health Services (Melville, NY)
- …other patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and that ... National and Local Coverage Decisions. + Maintain knowledge of Medicare, Medicaid and third-party payer regulations and hospital charging and collection policies.… more
- United Musculoskeletal Partners (Golden, CO)
- …cost center. Assists with supplies surrounding injectables and DME products. The DME Specialist is responsible for all matters concerning DME patient care and retail ... * Review all necessary authorizations and medical necessity as required by Medicare, Medicaid , or commercial insurance to fit and bill for each orthosis per criteria… more
- Centene Corporation (Springfield, IL)
- …workplace flexibility. **THIS POSITION IS REMOTE/WORK FROM HOME WITH 50% TRAVEL SUPPORTING MEDICAID AND SOME DUALLY ELIGIBLE LTSS MEMBERS IN THE ILLINOIS COUNTIES OF ... ongoing long-term care plans/service plans and works to identify providers, specialist , and/or community resources needed for long-term care + Coordinates as… more
- CenterWell (Las Vegas, NV)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients… more
- University of Rochester (Rochester, NY)
- …healthcare teams, twenty-four hours a day, seven days a week as the specialist in language and culture** + Provides interdisciplinary education to all team members ... 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health… more
- Logan Health (Kalispell, MT)
- …Representative who can seamlessly balance front-desk excellence with department specialist -level responsibilities. This position plays a central role in supporting ... maintain smooth clinic flow. + Maintain working knowledge of Medicare, Medicaid , and commercial insurance requirements. + Identify opportunities to improve customer… more
- Hawaii Pacific Health (Honolulu, HI)
- …in Hawai'i to receive a five-star rating from the Centers for Medicare & Medicaid Services. In addition to the programs and services at the medical center, Straub ... Benioff includes a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. **Location:** Straub Benioff… more
- Atlantic Health System (Morristown, NJ)
- …with Director/Manager, unit-based shared governance council (UBSG), and Nurse Educator/Clinical Specialist in meeting units' educational needs Criteria: Serves as a ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more