- Rochester Regional Health (Rochester, NY)
- …reporting tools highly desired. + May need previously experience in CMS, Medicaid / Medicare billing, and other regulatory processes. EDUCATION: LICENSES / ... - 4:30PMSUMMARY Participates and supports oversight of office processes of the Medical Management Department to maintain daily operations. Oversees the daily review… more
- Integra Partners (Troy, MI)
- …policies). + Review and process clinical and administrative appeals; coordinate with Medical Director when required. + Generate and review daily/weekly reporting ... + Excellent verbal/written communication and organizational skills. + Experience with Medicare and Medicaid requirements. + Familiarity with DMEPOS authorization… more
- AdventHealth (Ormond Beach, FL)
- …and interventions to assist patients and families in reaching desired outcomes. The Medical Social Worker assists with Medicaid applications, Nursing Home and ... ALF placements, hospice inpatient unit placements and financial needs. The Hospice Medical Social Worker reports to the Assistant Director of Clinical Services.… more
- First Atlantic Health Care (Saco, ME)
- …Rock Healthcare, part of the Atlantic Heights Community, is a fully-licensed Medicaid / Medicare -certified facility offering 105 beds. Our Maintenance Team at Seal ... grads! LPN Job Summary LPNs work under the direct supervision of the Director of Nursing (DON) and record all resident interactions to develop thorough documentation… more
- Fallon Health (Worcester, MA)
- …the Summit ElderCare program on an as-needed basis or as assigned by the Medical Director . + Supports the fundamental mission of the PACE program. ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Brief Summary of… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …the business territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid ) *Understanding of Hospital formulary with guidance of ... business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals of the company. The SSR… more
- Trinity Health (Des Moines, IA)
- …local/region/system strategies, regulatory and accrediting body requirements (ie, Centers for Medicare and Medicaid Services (CMS), Iowa Department of ... a place to go when you're in need of medical attention. Our Mission is based on improving the...Clinical Integration Specialist is to assist and support the Director in quality and safety strategies, plans, and regulatory… more
- Humana (Miramar, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... developing tailored treatment plans that not only adhere to medical prescriptions and best practices in wound care but...and quality of life. - Work closely with the Director of Nursing, Case Managers, and interdisciplinary teams including… more
- United Musculoskeletal Partners (Suwanee, GA)
- …new clinical employees, if applicable. + Comply with all elements of HIPAA law, Medicare , Medicaid , and other required programs. + Participate in any additional ... **DESCRIPTION** + Provide on-site management of the Resurgens Orthopaedics Durable Medical Equipment ("DME") Program. + Under the direct supervision and orders of… more
- La Clinica de Familia Inc. (Las Cruces, NM)
- …community-based settings, including client's homes. Core Competencies: + Experience working with Medicare , Medicaid or Special Needs populations. + Ability to ... to empower and enrich families, individuals, and communities by providing quality medical , dental, behavioral health and educational service for people of all… more