- Munson Healthcare (Traverse City, MI)
- …safety and continuous improvement. What the Position Involves Reporting to the Director of Home Care, you will oversee the clinical and administrative functions ... of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key performance indicators… more
- Lawrence General Hospital (Methuen, MA)
- …a Manager of Patient Access. Under the direction of the Patient Access Director , you will manage the daily registration operations for all assigned locations, ... (Emergency Medical Treatment and Active Labor Act), IM (Important Message), MOON ( Medicare Outpatient Observation Notice) and MSPQ ( Medicare Secondary Payer… more
- State of Georgia (Fulton County, GA)
- …Fraud Division. Job Summary Under the direction of the Fraud Unit Director , assists in healthcare investigations by: reviewing provider and recipient records, by ... the Georgia Medicaid Program; state and federal laws and policies governing Medicare and Medicaid. + Applies appropriate regulations, policies, and procedures to… more
- Tufts Medicine (Lowell, MA)
- …+ Communicates regularly with Clinical Managers as well as with the Clinical Director when issues arise relative to clinical practice or other performance related ... working knowledge of all regulations;Has a working knowledge of the Medicare Conditions of Participation; and Assisting with individual caseload reviews or… more
- Cabinet Peaks Medical Center (Libby, MT)
- …AccuReg(Optum), Availity,Document Locator Goals and objectives set in conjunction with the Director of Patient Financial Services are expected to be met or exceeded ... Keeps up to date on changes imposed by Medicare , Medicaid, Commercial Insurance as well as Federal and...other events that may arise In concert with the Director of Revenue Cycle, will participate in the recruitment,… more
- Genesis Healthcare (Albuquerque, NM)
- …must meet the supervision requirements set forth by CMS for patients with Medicare for the duration of the Clinical Fellowship. 3. Communicates status of Clinical ... Fellowship and licensure to direct supervisor and Director of Rehab in a timely manner. This includes...for the rehab gym, or as directed by the Director of Rehab/Clinical Operations Area Director . 6.… more
- New York State Civil Service (Thiells, NY)
- …DESCRIPTION:The Registered Nurse Supervisor 1 (RNS1) under the direction of the Director of Nursing, assists in the management, direction, and evaluation of nursing ... performing a broad range of clinical and administrative duties to assist the Director of Nursing in the daily nursing department services delivered. PRIMARY DUTIES… more
- Elderwood (North Creek, NY)
- …of nursing personnel of each unit, and other additional duties assigned by the Director of Nursing Services. RN Supervisor Shift Options: + + Evenings: 3pm -11pm + ... has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York...for nursing services in the absence of the Assistant Director of Nursing Services and/or Director of… more
- LA Care Health Plan (Los Angeles, CA)
- …setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination requires extended review. Collaborates with ... clinical data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses members for admission needs,… more
- Advocates (Waltham, MA)
- …of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and manage Integrated ... eligible, if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). + Current, valid, unrestricted license to… more