- Serenity Hospice Care (Paramus, NJ)
- …physician. + Consults with the patient's attending physician, the medical director and other healthcare practitioners regarding the patient's eligibility for care, ... needs of patients and family/caregiver + Makes recommendations to the Medical Director regarding patient eligibility for certification and recertification for care +… more
- Project Renewal, Inc. (Brooklyn, NY)
- …services. + Advises clients of entitlement possibilities and refers them for Medicaid/ Medicare , Public Assistance, & Food Stamps as needed. + Ensures that all ... and staff. + Performs other duties as assigned by the Director of Social Services or Program Director . Qualifications: + Bachelor's Degree and a minimum of two… more
- LA Care Health Plan (Los Angeles, CA)
- …assists the Customer Solution Center Appeals & Grievance Manager and Director in meeting regulatory timelines by maintaining an accurate database inventory ... the Customer Solution Center Appeals and Grievance Specialists for L. A. Care's Medicare Advantage program. This includes the technical aspects of the time sensitive… more
- Prime Therapeutics (Salt Lake City, UT)
- …throughput metrics for assigned client team or focus area + Partner with the Director Operations and HR to drive talent management and talent planning efforts for ... client team or focus area + Partner with Director Operations and Shared Services to develop and execute...+ Previous experience with RxClaim + Previous experience with Medicare or Medicaid Every employee must understand, comply with… more
- Cabinet Peaks Medical Center (Libby, MT)
- …quality patient care in the department. This role collaborates with the Medical Director regarding program practices and policies and to plan for patient care needs. ... compliance with all CPMC policies & procedures, laws, regulatory requirements, Medicare Conditions of Participation, etc. Develops and maintains current department… more
- State of Colorado (CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... Board or request a review by the State Personnel Director . An appeal or review must be submitted on...Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and… more
- State of Colorado (Lakewood, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License Verification (if applicable), ... Board or request a review by the State Personnel Director . An appeal or review must be submitted on...Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and… more
- Banner Health (Worland, WY)
- …and medical service providers. CORE FUNCTIONS 1. Under direction of PAS Sr Director and/or PAS Director , provides mentoring and clear developmental opportunities ... of managed care contracts, other third-party payors, AHCCCS if applicable, and Medicare , along with knowledge of medical terminology. Requires the ability to make… more
- Penn Medicine (Philadelphia, PA)
- …Spruce St **Hours:** Full Time Summary: + Provide financial support to the Director of Finance and department leadership in the development of strategic, financial ... and trains users of financial systems. Functions as the Director of Finance in his/her absence. Supervises professional level...in preparation of the 990, Cost Report, JCAHO and Medicare Audits, as well as participates on the Project… more
- University of Utah Health (Murray, UT)
- …**Knowledge / Skills / Abilities** + Knowledge of Medicaid, commercial insurance, and Medicare . + Demonstrated proficiency in the use of Microsoft Office software. + ... discrimination or sexual misconduct including sexual harassment, you may contact the Director /Title IX Coordinator in the Office of Equal Opportunity (OEO). More… more