- ChenMed (Cincinnati, OH)
- …waste and medicine disposal, etc. + Conducts trainings and refreshers regarding Medicare and HIPAA compliance, ensures annual OSHA trainings occur and employees have ... all required certifications current in their files. + Monitors transportation and housekeeping activities. + Monitors and/or alters team member work schedules, including approval of overtime or vacations. + Collaborates with the Leadership Team and… more
- Bear Mountain Health Care (Worcester, MA)
- …. Ensure proper respiratory staffing 24/7 . Educate staff on Medicare /Managed Care/Medicaid guidelines documentation . Monitor all dept documentation for compliance ... through chart audits . In-service as needed and complete annual evaluations for the Respiratory dept staff . Complete annual vent competencies with Respiratory and Nursing Dept employees . Complete VENT authorizations timely and submit to Central Business… more
- Avera (Aberdeen, SD)
- …and legal authorization and with nursing home policy. + Understands/coordinates Medicare /Medicaid coverage requirements. + Assures that a comprehensive plan of care ... is established and implemented per regulations for each resident. Interacts with the physicians/providers to plan care for the residents. Assures that discharge and transfer planning for residents is conducted. + Responsibilities include interviewing, hiring,… more
- Centene Corporation (Austin, TX)
- …and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective ... compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. +… more
- Catholic Health Services (Melville, NY)
- …Familiarity with clinical documentation requirements. Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building ... this knowledge through experience and partnership with Care Management. Excellent communication and presentation skills (both written and oral). Teaching and coaching skills. Analytical ability and problem-solving skills. Working knowledge of electronic… more
- AbbVie (Irvine, CA)
- …strategy for the Eye Care Brands across all payer channels (eg Commercial, Medicare , Medicaid, and VA). This individual will be required to effectively orchestrate ... communication and alignment across US Market Access channel teams as well as serve as the subject matter expert for an Eye Care Integrated Brand Teams. Leverage data and analytics, along with customer insights to make strategic decisions for the Eye Care… more
- Granville Medical Center (Oxford, NC)
- …usually required. Strong communication skills both written and oral, team player. Medicare and Medicaid regulatory knowledge a must. Preferred: Two years experience ... in a similar position within a hospital is preferred. Meditech system experience preferred. more
- University of Miami (Miami, FL)
- …+ Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population preferred + ... Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training and ... The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall… more
- Covenant Health Inc. (Knoxville, TN)
- …verbal and written communication skills required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other ... rheumatology, sleep medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to… more