- Munson Healthcare (Traverse City, MI)
- …and administrative functions of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key ... Supervisors, participating in on-call rotation, and leading quality improvement and compliance activities. What's Required + Education & Licensure: + Master's in… more
- Amazon (San Francisco, CA)
- …quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in healthcare ... improve the quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and other national quality metrics. - Design and… more
- CVS Health (Tallahassee, FL)
- …processes, procedures, and systems to ensure consistent results and organizational compliance with regulations related to the organization's Medicare Part ... the implementation of business projects and programs and managing operations within the Medicare Part B Pharmacy Team. You will act as a Subject Matter Expert… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse performs utilization review of medical necessity and ... appropriateness, cost containment and efficiency, compliance with regulations and contracts, care coordination and continuity of care, prior authorization and denial… more
- The Joint Commission (Oakbrook Terrace, IL)
- …from the field, analysis of periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of- compliance reports. + ... inductive reasoning skills to determine a health care organization's degree of compliance with applicable standards and functionality of care delivery systems. Field… more
- BAYADA Home Health Care (Towson, MD)
- …supervision and support to field RNs, LPNs, PTs, OTs & SLPs. + Ensure compliance with Medicare Conditions of Participation (CoPs), state regulations, and agency ... Nurse (RN) to fill the position of **Clinical Nurse Manager** for our **Towson, MD** Medicare Certified, Home Health office. Do you want to be part of providing care… more
- BAYADA Home Health Care (Jacksonville, FL)
- …supervision and support to field RNs, LPNs, and clinical staff + Ensure compliance with Medicare Conditions of Participation (CoPs), state regulations, and ... Nurse (RN) to fill the position of **Nurse Manager** for our Jacksonville, FL Medicare Certified, Home Health office. Do you want to be part of providing care… more
- Gentiva (Fairfax, VA)
- …role is responsible for ensuring the appropriate delivery of hospice services, compliance with Medicare Hospice Benefit Conditions of Participation, state ... Maintain compliance with federal, state, and local regulations, including Medicare and state survey requirements + Participate in orientation, training, and… more
- BAYADA Home Health Care (Fayetteville, NC)
- …supervision and support to field RNs, LPNs, and clinical staff + Ensure compliance with Medicare Conditions of Participation (CoPs), state regulations, and ... Care is seeking a **Clinical Manager (RN required)** for our **Fayetteville, NC** Medicare Certified, **Home Health** office. Do you want to be part of providing… more
- UCLA Health (Los Angeles, CA)
- …identifying strengths, weaknesses, opportunities, and risks. + Monitor and ensure compliance with Medicare /Medi-Cal cost reporting rules and regulations, while ... operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact...reimbursement while making a meaningful impact on policy and compliance . You can do all this and more at… more