- BAYADA Home Health Care (Raleigh, NC)
- …to fill the position of **RN Clinical Manager** for our Raleigh, NC Medicare Certified Senior Living home health office. This office provides best-in-class care to ... Nurse (RN) with 2or more years of experience as an RN + Recent Medicare Certified Home Care experience. + Comprehensive knowledge of the Medicare Conditions… more
- BAYADA Home Health Care (Springfield, MO)
- …quality and adherence to policies, procedures, hospice eligibility documentation, and Medicare Conditions of Participation. In this integral leadership role, you ... services rendered in accordance with policies and procedures and Medicare rules + Serve as a key medical resource...such registration upon request + Must remain a qualified Medicare and Medicaid provider + Will maintain unrestricted medical… more
- The Cigna Group (St. Louis, MO)
- …will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide ... or 3+ years relevant experience in managing products and leading projects in Medicare + Familiarity with pharmacy adjudication and other PBM operations + Experience… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Certification consistent to the clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + Must successfully pass pre-employment and credentialing clearances Preferred Qualifications: Prior Oncology experience preferred. Work Days: Monday - Friday, Days in a part time status. Message to Applicants:… more
- FlexStaff (Chappaqua, NY)
- …a dynamic Claims Management Specialist for our client to oversee their Medicare , Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. If you ... Responsibilities: - Lead and manage a team of insurance specialists handling Medicare , Medicaid, and out-of-network claims. - Monitor daily workflows to ensure… more
- Commonwealth Care Alliance (Boston, MA)
- …in SQL, data integration, and systems development are essential. Knowledge of Medicare risk adjustment methodologies is highly desirable. The ideal candidate is a ... adjustment data ecosystem. + Support audit readiness and regulatory compliance for Medicare and Medicaid risk adjustment programs. + Represent the Risk Adjustment… more
- CenterWell (Apopka, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable ... experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality… more
- ZoomCare (Wilsonville, OR)
- …+ **Provide a rewarding mix of care including preventative care such as Medicare establishing care and Medicare annual wellness exams, Hospital transition care, ... care. + Experience seeing patients of all ages. + Eligible to participate in the Medicare program. + Must be able to demonstrate 2000 hours of work experience at the… more
- Corewell Health (Farmington Hills, MI)
- …starting bonus! About the unit Our sub-acute floor is a 59 bed Medicare unit that has residents with multiple clinical issues including CHF, dehydration, cellulites, ... satisfaction. Our Chronic Care floor is a 60 bed Medicare /Rehabilitation and long-term care unit and is a great...goals. Our Dementia Care floor is a 60 bed Medicare /Medicaid/Dementia unit. We provide care to residents with a… more
- SUNY Upstate Medical University (Syracuse, NY)
- …+ NYS licensed/registered NP or PA required. Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: 1 year or more of experience in Interventional… more