- Atlantic Health System (Morristown, NJ)
- …and data risk classification; (iv) accountable care organization compliance; (v) Medicare C & D/ Medicare Advantage compliance program requirements; (vi) ... activities, or regulatory mandates. + The Manager will support the Director of Corporate Compliance to ensure implementation of appropriate policies and… more
- Gentiva (San Angelo, TX)
- …ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide leadership and operational oversight ... operations leadership + Strong understanding of hospice regulations, compliance, and Medicare conditions of participation + Proven ability to manage teams, budgets,… more
- Truman Medical Centers (Kansas City, MO)
- …+ Knowledge of insurance company, third-party and government reimbursement programs; ie Medicare , Medicaid, MC+, etc. + Knowledge of medical insurance billing ... knowledge of Medicare rules and Local Carrier Determination (LCD) and national Correct Coding Initiative (NCCI) edits and proper procedure code sequencing +… more
- HCA Healthcare (Kansas City, MO)
- …you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support our colleagues in their positions. Join our Team as a(an) ... assist with every stage of your career. **Benefits** Research Medical Center, offers a total rewards package that supports...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- Texas Health Resources (Plano, TX)
- …. Experience in Graduate Medical Education Preferred and . Previous CMO, ACMO or medical director experience Preferred . MD - Medical Doctor Texas ... the Hospital. 2. Provide oversight and leadership to the director of Medical Staff Office and the...required upon hire . Knowledge of industry standards JCAHO, Medicare , OSHA, Organizational management, regulatory standards for affected area… more
- Sharp HealthCare (La Mesa, CA)
- …Degree in Nursing; National Provider Identifier (NPI) - US Centers for Medicare & Medicaid Services; AHA Basic Life Support for Healthcare Professional (AHA BLS ... -REQUIRED + National Provider Identifier (NPI) - US Centers for Medicare & Medicaid Services -REQUIRED **Preferred Qualifications** + 3 Years full scope… more
- Tufts Medicine (Lowell, MA)
- …2. Hospice and/or end of life experience required. **Location** : Boston-MA, Tufts Medical Center Based **Hours** : Full Time- 40 Hours Monday-Friday No Weekends ... hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where… more
- University of Utah (Salt Lake City, UT)
- …model with the University of Utah Health Plans. This position reports to the IOC Medical Director and will support the IOC patient population and the clinic team ... a dedicated patient at the direction of the IOC's Medical Director + Perform history and physical...Participate in quality improvement activities + Meet qualifications for Medicare , Medicaid, and similar programs + Maintain valid Utah… more
- New York State Civil Service (Brooklyn, NY)
- …Brooklyn State NY Zip Code 11233 Duties Description NYCCC is recruiting a Director of Clinical Risk Management Department to oversee their Risk Management Department ... will supervise the Clinical Risk Managers (CRM) assigned to the department. The Director will have on-call and recall responsibilities along with evening work hours.… more
- Centene Corporation (Helena, MT)
- …for appeals, adjustments and miscellaneous/unlisted code review + Review cases with Medical Director to validate decisions and identify opportunities to create ... Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace… more