- Fallon Health (Webster, MA)
- …strive to be the leading provider of government -sponsored health insurance programs , including Medicare, Medicaid , and PACE- in the region. **Brief Summary ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid ) and benefits, preferred. ... guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or… more
- Katmai (Usaf Academy, CO)
- …any US United States or jurisdiction, be able to practice using a nurse compact state license or Enhanced Nurse Licensure Compact (eNLC) or have a license from any ... United States jurisdiction. + Must maintain a current, valid, and unrestricted State nursing/social worker license in good standing. + Extensive knowledge of… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... all products, and in compliance with applicable NCQA standards and other state or federal regulatory requirements. Strict adherence to department turn-around time… more
- Elara Caring (Grand Rapids, MI)
- …Clinical Care Specialist is part of the ElaraConnect suite of patient engagement programs that aims to improve patient outcomes on-service. The Engage Clinical Care ... to our success in the following ways:** + Receives and maintains program referrals for assigned market (states or branch groups) identified by ElaraConnect… more
- CenterWell (Las Vegas, NV)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... **Required Qualifications:** + Graduate of accredited MD or DO program from an accredited university + Board Certification or...license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses… more
- Fallon Health (Leominster, MA)
- …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... Twitter, and LinkedIn. **About Summit ElderCare** : Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the… more
- UnityPoint Health (Anamosa, IA)
- …knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (eg, Medicare and Medicaid ) regarding fraud, waste, and ... a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what… more
- UnityPoint Health (Anamosa, IA)
- …knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and ... a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what… more
- Fallon Health (Leominster, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more