- Sunrise Senior Living (Haverford, PA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... of guests/residents charts. + Completes Incident Reports and reports to Director of Nursing Services (DNS). + Reviews, updates and documents communication… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …PATHOLOGIST JOB DESCRIPTION Department: Rehabilitation Reports to: Rehabilitation Director Reporting to this position: N/A Job Classification: Department ... speech language pathology and audiology department to the rehabilitation director to determine the need for action such as...as required by facility policy (RAI User's Manual) for Medicare Part A, Medicare Advantage residents upon… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …THERAPIST JOB DESCRIPTION Department: Rehabilitation Reports to: Rehabilitation Director Reporting to this position: Occupational Therapy Assistants, Occupational ... outcomes of the occupational therapy department to the rehabilitation director to determine the need for action such as...as required by facility policy (RAI User's Manual) for Medicare Part A, Medicare Advantage residents upon… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …specific to hospital revenue cycle risk areas highlighted by the OIG, Medicare , State Medicaid, State Insurance Fraud; Managed Care or Governmental Value-Based ... risk areas + Assists in auditing and investigations requested by the System Director , Compliance. + Assists in the development of compliance corrective action plans… more
- Prime Therapeutics (Jefferson City, MO)
- …with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a team of directors and/or Sr directors and is ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
- State of Colorado (Grand Junction, CO)
- …and is not approved to provide remote services to youth unless approved by the Director of Behavioral Health and Medical Services (BHMS) or designee. Summary of ... service delivery and does not permit remote services unless sanctioned by the Associate Director of Behavioral Health and Medical Services (BHMS) or the … 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ And more **Description** **RESPONSIBILITIES:** This position reports to the Director , Reimbursements and Net Patient Service Revenue (NPSR), and oversees analysis ... to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists with preparation of all supporting work… more
- Humana (Albany, NY)
- …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of...to execution **Additional Information** This role reports to the Director of Strategy, works collaboratively with members of rest… more
- Humana (Indianapolis, IN)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more