• Utilization Management Onsite Nurse

    Humana (Frankfort, KY)
    …management or case management a plus + Health Plan experience + Previous Medicare /Geriatric Experience a plus + Bilingual is a plus **Work-At-Home Requirements** To ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is… more
    Humana (08/27/25)
    - Related Jobs
  • Executive Director Specialist RN

    Gentiva (St. Louis, MO)
    …performance improvement + Drive clinical quality and ensure services meet Medicare Conditions of Participation, state hospice regulations, and Gentiva standards + ... experience, preferably in hospice or healthcare + Experience with Medicaid/ Medicare regulations and reimbursement + Strong understanding of hospice operations… more
    Gentiva (08/26/25)
    - Related Jobs
  • Call Center Representative - Cardiology

    Hartford HealthCare (Middletown, CT)
    …* Collects all data necessary for the basic pre-registration and insurance verification and authorization process. * Secures authorization requirements for all ... arrangements for all lines of services. * Ensures compliance with completed Medicare Secondary Payer questionnaire for all pre-scheduled patients. * Assists with… more
    Hartford HealthCare (08/26/25)
    - Related Jobs
  • Manager of Rehab Services

    HCA Healthcare (San Antonio, TX)
    …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...care and meets the requirements or regulations of JCAHO, Medicare , Medicaid, and appropriate licensing or certified boards. The… more
    HCA Healthcare (08/26/25)
    - Related Jobs
  • Mental Health Therapist

    UnityPoint Health (West Des Moines, IA)
    …leave, 401K matching and an employee recognition program . + Dental and health insurance , paid holidays, short and long-term disability and more. We even offer pet ... insurance for your four-legged family members. + Early access...to bill for government payers (ie, not on the Medicaid/ Medicare exclusion list.) . Document services accurately and timely… more
    UnityPoint Health (08/25/25)
    - Related Jobs
  • Biller 1

    Aveanna Healthcare (Atlanta, GA)
    …guarantors for services provided. This is inclusive of claims to commercial, Medicare , Medicaid and private pay accounts. Essential Job Functions Maintains current ... ensure claims are refiled and/or billed to the second insurance in a timely manner. Understands payer specific requirements...a signed agreement with Aveanna. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/23/25)
    - Related Jobs
  • Registered Nurse RN Emergency Department (Part…

    Penn Medicine (Lancaster, PA)
    …good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , Medicaid or any ... other federal or state health insurance program. + As outlined in unit based Plan for Provision of Care. We believe that the best care for our patients starts with… more
    Penn Medicine (08/23/25)
    - Related Jobs
  • Case Manager Assistant

    HCA Healthcare (Pasadena, TX)
    …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...including having the Patient Choice letter signed. . Monitors Medicare patient's planned discharge dates and delivers the Important… more
    HCA Healthcare (08/22/25)
    - Related Jobs
  • Nurse Practitioner or Physician Assistant…

    UCHealth (Fort Collins, CO)
    …+ Eligible to provide services reimbursable services and maintain provider status with Medicare and Medicaid. + Eligible to provide services with no sanctions or ... + Eligible to provide services reimbursable services and maintain provider status with Medicare and Medicaid. + Eligible to provide services with no sanctions or… more
    UCHealth (08/22/25)
    - Related Jobs
  • Financial Analytics Professional

    Humana (Louisville, KY)
    …Experience working with medical claims or other healthcare data + Medicare risk adjustment experience + Financial or actuarial background **Additional Information** ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc. (NYSE: HUM) is… more
    Humana (08/21/25)
    - Related Jobs