- Novant Health (Winston Salem, NC)
- …a Structural Heart Regulatory Coordinator who's passionate about ensuring compliance and supporting life-saving procedures in a collaborative, fast-paced ... procedures performed and the pre/post care required. + Knowledge of Medicare /Medicaid rules/regulations necessary to understand criteria for admission. + Stay… more
- US Tech Solutions (May, OK)
- …to obtain additional information. . Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. . ... of Care cases across all lines of business (Commercial and Medicare ). . Independently coordinates the clinical resolution with internal/external clinician support… more
- LA Care Health Plan (Los Angeles, CA)
- …of member appeals and grievances for all product lines (Medi-Cal, Medi-Cal Direct, Medicare , PASC-SEIU and LA Care Covered) in a manner consistent with regulatory ... Department of Managed Health Care, Department of Health Care Services, Centers for Medicare & Medicaid Services, as well as requirements from the National Committee… more
- Alameda Health System (Oakland, CA)
- …of department-wide education, clinical competencies, quality assurance, regulatory compliance , PACS/RIS workflow support, and radiologic student training programs. ... the American College of Radiology (ACR), The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and the California Department of Public Health -… more
- University of Oregon (Eugene, OR)
- …Assurance and Risk Management position is responsible for the HIPAA Compliance Program, Safety/Risk Management, and Quality Assurance at University Health Services. ... Assurance and Risk Management is responsible for accreditation and ongoing compliance with the standards of the Accreditation Association for Ambulatory Health… more
- WellSpan Health (York, PA)
- …of contract pharmacies (if applicable) and 340B pharmacy operations to ensure compliance with 340B Program requirements for qualified patients, drugs and locations. ... Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. Evaluates patient eligibility for qualified and… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …to match the skills, abilities, and interests/preferences of each resident in compliance with Federal and State regulations, to include identifying and promoting ... Admissions Director - Job Description (C) Copyright 2020 The Compliance Store, LLC. All rights reserved. Page 2 of...facility's supports and services. Maintains a working knowledge of Medicare , Medicaid and other insurances for short- and longterm… more
- Genesis Healthcare (Elk Grove, CA)
- …a licensed therapist. 17. Assists Director of Rehab in ensuring practice act compliance . 18. Attends facility meetings and is responsible for information sharing at ... and procedures including but not limited those within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act...period of one year. 3. A thorough knowledge of Medicare and third party billing is also required. Posted… more
- The New Jewish Home (Bronx, NY)
- …activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP, Home & Community Based Services and/or Chief ... coordinated to guarantee the provision of safe and adequate care. o Ensures compliance by staff with all applicable Federal, State and local regulatory and… more
- Truecare Homecare Agency (Brooklyn, NY)
- …New York, Westchester, Long Island, and Colorado. Our focus is on compliance , compassion, and operational excellence as we serve diverse communities. The Senior ... personal care aide (PCA) and home health aide (HHA) scheduling, billing, and compliance management. This a leadership role which is critical in ensuring that the… more