- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... as a Registered Nurse or one year of experience in a Medicare Certified Home Health or Hospice Agency. **Preferred/Optional:** None **CERTIFICATIONS/LICENSES** _The… more
- HCA Healthcare (Austin, TX)
- …Serves as a coordinator between Centralized Services and the Agency Facilitates compliance in the electronic medical record for notices provided to the patient ... or responsible party (eg, Notices of Medicare Non-Coverage, DPOA documentation) Tracks documentation management activities Keeps the Clinical Service Manager … more
- Hartford HealthCare (Farmington, CT)
- …of documentation of Evaluation and Management o Experience with interpreting Medicare , Medicaid and third-party billing and compliance regulations necessary. ... 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines… more
- BAYADA Home Health Care (Boyertown, PA)
- …and looking for the next progression in your career, then BAYADA's Clinical Nurse Manager could be the position for you. **As a Hospice Director your day may ... of all services provided by your staff to ensure compliance and client satisfaction while ensuring adequate staff education,...Degree OR MHA Degree + Management experience within a Medicare Certified Home Care Agency + Demonstrate record of… more
- CenterWell (Norfolk, VA)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... improving consumer experiences **Preferred Qualifications** + Knowledge of Medicaid and Medicare programs + Excellent oral and written communication skills + Good… more
- Humana (Springfield, IL)
- …with electronic information applications/software programs. **Preferred Qualifications** + Certified Case Manager (CCM). + Master's degree in a health or social ... service-related field. + Prior experience with Medicare & Medicaid recipients. + Previous experience with electronic...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Corpus Christi, TX)
- …two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... care environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional… more
- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... rural health clinics within the Health System. This individual will assist with Medicare and Medicaid Cost Report coordination, Wage Index, S10, DSH and other… more
- CenterWell (Clarksville, IN)
- …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Stanford Health Care (Palo Alto, CA)
- …Santa Clara, or Alameda counties. Supporting a value-based care model for Medicare Managed Care programs, serving all Medicare patients (excluding VA/Kaiser ... prevent avoidable readmissions. Working closely with the TOC Medical Director, Nurse Manager , and Program Director to support program operations and outcomes. The… more