- Humana (Lansing, MI)
- …Clinical Leadership teams to ensure utilization reviews comply with Centers for Medicare & Medicaid Services (CMS) regulations as well as Michigan Dual Special ... Plan (DSNP) Contract terms. + Works in conjunction with the Quality Improvement Director to develop quantifiable metrics that can track and evaluate the results of… more
- Penn Medicine (Plainsboro, NJ)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... work? **Job:** Full Time Verification Specialist **Location:** PMPH Specialist Staff - Medical Arts Pavilion (5 Plainsboro Road Plainsboro, NJ) **Hours:** Full Time,… more
- UnityPoint Health (Anamosa, IA)
- …levels of testing in accordance with procedures approved by Laboratory Director and within manufacturer specifications. . Performs and documents routine instrument ... and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions… more
- Aveanna Healthcare (Greenville, AL)
- …established by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . We are growing! Part Time hours needed to support ... + Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- Genesis Healthcare (Bowie, MD)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and ... program. Responsibilities The Senior Therapist is responsible for assisting the Director of Rehab in the efficient Clinical management of rehabilitation services… more
- Genesis Healthcare (Savannah, GA)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... program. Responsibilities The Senior Therapist is responsible for assisting the Director of Rehab in the efficient Clinical management of rehabilitation services… more
- Genesis Healthcare (Hockessin, DE)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... better, and living better. The Senior Therapist is responsible for assisting the Director of Rehab in the efficient Clinical management of rehabilitation services in… more
- UCLA Health (Los Angeles, CA)
- …In this role, you will ensure precise home office reimbursement for UC Academic Medical Centers. Reporting to the Director of Reimbursement, you will conduct ... financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on policy and… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …the progressive discipline process when appropriate * Collaborates with department director and professional development specialist to develop standard work and ... expectations for the utilization review process, including timely medical necessity screening to ensure patients are placed at the appropriate patient status and… more
- STG International (Milledgeville, GA)
- …Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + Interpret the ... coding for accuracy. + Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically… more