• Psychiatric Admissions RN - Nights Full-Time

    Providence (San Pedro, CA)
    … Services (CMS) guidelines and regulations. Under the direction of the Medical Director the Admissions Coordinator evaluates internal and external referrals ... target LOS and expected reimbursement and cost for all Medicare patients. Providence Little Company of Mary Medical... Medicare patients. Providence Little Company of Mary Medical Center San Pedro, awarded the Joint Commission's Gold… more
    Providence (08/26/25)
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  • Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    …CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services. + Experience working ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville,...a flexible schedule Description: Under the direction of the Director of Physician Coding, the Audit and Education Manager… more
    MedKoder (08/10/25)
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  • CBHC Child and Adolescent Psychiatrist

    Advocates (Framingham, MA)
    …other members of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and ... if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). +...from the National Practitioner Data Bank and absence of Medicare / Medicaid sanctions. + Strongly prefer candidate who… more
    Advocates (07/28/25)
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  • Home Health Master Social Worker MSW PRN

    Aveanna Healthcare (Lake City, FL)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... on clinical diagnosis, client and physician input that includes medical and social interventions and measurable goals or outcomes....work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (09/12/25)
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  • Hospice Social Worker MSW Part Time

    Aveanna Healthcare (Tuscumbia, AL)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... on clinical diagnosis, client and physician input that includes medical and social interventions and measurable goals or outcomes....work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (09/09/25)
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  • Home Health Social Worker MSW Part Time PRN

    Aveanna Healthcare (Winchester, VA)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... on clinical diagnosis, client and physician input that includes medical and social interventions and measurable goals or outcomes....degree in Social Work preferred As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (08/28/25)
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  • Hospice Master Social Worker Bereavement…

    Aveanna Healthcare (Griffin, GA)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... on clinical diagnosis, client and physician input that includes medical and social interventions and measurable goals or outcomes....work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (08/28/25)
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  • LCSW Social Worker - Cancer Center

    Providence (Santa Monica, CA)
    …and their families. The Clinical Social Worker works cooperatively with the Director , Case Management and medical and paramedical staff. In coordination ... the Manager of Outpatient Oncology Social Work Services and Director of Cancer Center Clinics, the Licensed Clinical Social...rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Providence caregivers… more
    Providence (08/30/25)
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  • Manager Network Operations

    OhioHealth (Columbus, OH)
    …pertaining to CIN Membership Committee: The Manager is responsible for CIN Medical Director Review, the Provider Network Development Committee (PND), the ... Office (CVO) and Network Operations Department reports to the Director of CVO and Network Operations and oversees all...is completed with all CIN and OhioHealth payers including Medicare / Medicaid prior to care site go-live. The… more
    OhioHealth (08/21/25)
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  • Registered Nurse (RN) - Case Manager - PRN

    Texas Health Resources (Arlington, TX)
    …TMF, TDI, Medicare , and Milliman Care Guidelines. 2. Applies knowledge of Medicare and Medicaid regulations to utilization of hospital services and educates ... management Texas Health Arlington Memorial Hospital, a 369-bed acute-care, full-service medical center has been serving Arlington and the surrounding communities… more
    Texas Health Resources (08/29/25)
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