- ChenMed (Houston, TX)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... (TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for...with the applicable center and market leadership to ensure compliance with guidelines along with participating in risk and… more
- Apex Health Solutions (Houston, TX)
- …technicians) in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination (appeal) process, ... (internal and external). The pharmacy specialist will also work with the compliance department to perform frequent audits and provide exceptional customer service… more
- Humana (Detroit, MI)
- …of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...or Macomb county, to conduct in home visits with Medicare /Medicaid members.** **Must reside in Michigan with the ability… more
- University of Miami (Miami, FL)
- …manages documentation including pulling cases logs. + Assists with new faculty with Medicare and Medicaid applications. + Assists Practice Manager with off ... + Ensures all provider templates and physician leave requests meet compliance and Department of Medicine guidelines before submitting template modifications. +… more
- AmeriHealth Caritas (Lancaster, PA)
- …"CHC") and across the AmeriHealth Caritas organization (Pennsylvania Medicaid and Medicare plans, Pennsylvania shared services ( Compliance , Regulatory and ... **Responsibilities:** Under the supervision of the Manager , Community Outreach Programs, this position develops, promotes, and implements Community Health Choices… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in ... coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical...CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve… more
- HCA Healthcare (Denver, CO)
- …management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring post-acute ... support in Case Management functions. Responsibilities: * Coordinates with RN case manager and social worker for support needed. Communicates updates on progress… more
- HCA Healthcare (Fort Walton Beach, FL)
- …management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring post-acute ... do in this role: + Coordinates with RN case manager and social worker for support needed. Communicates updates...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more
- AdventHealth (Altamonte Springs, FL)
- …allied health practitioners, nursing, and care management. This includes quarterly compliance updates from Medicare . + Effectively and appropriately communicates ... will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager , and in some situations the supervision of the Director of… more
- WellSpan Health (Chambersburg, PA)
- …staff function in accordance with standard workflow procedures. + Ensures compliance with regulatory agencies including OSHA, CLIA, Vaccines for Children (VFC), ... of the Materials Safety Data Sheet manual. + Ensures compliance with the standards of the Patient Centered Medical...Diagnostic Test Tracking, Med Reconciliation and PCMN. + Assumes manager role when Practice Manager /Front Office Supervisor… more