- City of New York (New York, NY)
- …Engagement Unit, Health and Hospitals, and Community-based Organizations. To ensure full compliance of these partnerships the Bureau of Equitable Health Systems is ... 65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ;...report number of clients to the Health Center Facility Manager in the absence of the Site Supervisor. PREFERRED… more
- Marshfield Clinic (Marshfield, WI)
- …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 ... Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG ( Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related… more
- CenterWell (Jacksonville, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... care environment in a value-based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional… more
- UnityPoint Health (Grimes, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... devices, recommends security standards and controls as technology changes, ensures compliance in application of Clinical Engineering processes with privacy and… more
- LA Care Health Plan (Los Angeles, CA)
- …Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... to support effective delivery of ECM services and ensure compliance with local, State, and Federal regulations, statues and...as a health insurance environment and/or experience as care manager in home health or hospice environments. Previous care… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …they need for healthy living. JOB SUMMARY: The objective is to ensure ongoing compliance , provide support and training by monitoring the field staff on a monthly ... to utilize in developing strategy and plans that ensure compliance and can also be used to keep class...policies and procedures and job responsibilities of the account manager + Create and implement training materials and tools… more
- Bassett Healthcare (Hamilton, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports + Ends calls by asking patient if there is anything else we can do ... for them today as observed by Supervisor and as noted in compliance reports + Takes clear, complete and accurate phone messages, (and follows up on these messages to… more
- State of Colorado (Pueblo, CO)
- …clinical direction/supervision of nursing staff, QA/PI activities and to ensure compliance in all areas, and interdisciplinary collaboration. This position is ... to ensure all nursing assignments and duties are completed and in compliance with CMHIP policies and psychiatric and medical nursing standards, licensure… more
- CHS (Clearwater, FL)
- …claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, ... customer service calls within the MPS call center. + Ensures compliance with appropriate company policies, procedures, guidelines, and reporting requirements;… more
- Trinity Health (Silver Spring, MD)
- …survey readiness and promote a culture of continuous regulatory compliance and quality improvement. **Job Title: Regulatory, Accreditation Coordinator** **Employment ... standards from agencies such as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and state health departments in collaboration with… more