- State of Massachusetts (Chelsea, MA)
- …and veteran resident Charge Nurse and assigned Social Worker * Ensures compliance with regulations, standards, and guidelines of all regulatory agencies, including ... the Joint Commission, Centers for Medicare and Medicaid (CMS), the Department of Veterans Affairs,...prior to their start date. Details relating to demonstrating compliance with this requirement will be provided to applicants… more
- HonorHealth (AZ)
- …indicated, advises case management to render letter of non-coverage in compliance with regulatory requirements. + Case Management Support: Supports case management ... a need for issuance of a hospital notice of non-coverage/Important Message from Medicare . Discusses the case with the attending physician and if additional clinical… more
- Humana (Lincoln, NE)
- …ensures the integrity of accounting records for completeness, accuracy and compliance with accepted accounting policies and principles. + Provides financial support, ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Catholic Health Initiatives (Mount Sterling, KY)
- …maintains pertinent records of all assigned patients, in order to be in compliance with Joint Commission, CARF, Medicare , and all other regulatory requirements. ... patients within the guidelines established by the physician and in compliance with departmental policies and procedures. 3. Implements competent treatment and… more
- J&J Family of Companies (Omaha, NE)
- …and REMs. Educate entire staff on REMs set up, certification, program compliance and document requirements. Refer HCPs and staff to centralized access, ... verification, pre-authorization, billing, coding, claims, and appeals/grievances); REMs certification; Medicare and Medicaid rules and regulations; and state-specific clinical… more
- Trinity Health (Ann Arbor, MI)
- …hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the ... of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Champus, and Supplemental Security Income… more
- Molina Healthcare (GA)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Negotiates agreements ... meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised… more
- WellSpan Health (York, PA)
- …duties as identified. + WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, ... organization and the performance expectations of the job, the department, and the compliance program. + WellSpan Health has adopted and implemented a privacy program… more
- Sanford Health (Bemidji, MN)
- …- $46.50 **Job Summary** Collaborates with operational and executive leadership ensuring compliance with regulatory bodies to include, but not limited to: Department ... of Health (DOH), Center for Medicare and Medicaid (CMS) Conditions of Participation, and standards...Specialist works with staff, evaluating care, to ensure regulatory compliance . Evaluates patient safety systems ensuring safe reliable care.… more
- Humana (Montgomery, AL)
- …financial results, and many ad hoc analyses related to the business (risk, compliance , operations, etc.) They will advise market leadership and executives to develop ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more