• Value-Based Reimbursement Specialist

    Highmark Health (Montpelier, VT)
    …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... in the primary care and the ambulatory care environment, healthcare insurance industry, healthcare administration in primary care, or healthcare consulting in… more
    Highmark Health (08/20/25)
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  • Registered Nurse RN Heart Failure Telemetry Unit…

    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 (08/19/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician ... resource person to subordinate staff concerning Federal regulations pertaining to Medicare and Medi-Cal reimbursement, aspects of medical treatment for unusual… more
    The County of Los Angeles (08/18/25)
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  • LPN/ RN

    Granville Health System (Oxford, NC)
    …Loan Forgiveness (PSLF) Comprehensive Benefits: Medical, dental, vision, life insurance , and various supplemental benefits available Qualifications # LPN: Graduate ... North Carolina license as Practical Nurse.# Trained in the standards of DFS, Federal Medicare Regulations # Medicaid Regulations for long term care.# Must be able to… more
    Granville Health System (08/16/25)
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  • Physician Assistant or Nurse Practitioner…

    UCHealth (Pueblo, 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 (08/15/25)
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  • Specialty Pharmacy Patient Advocate

    Banner Health (Tucson, AZ)
    …lab values, and appropriate step therapy to third-party for initial insurance approval. Verify eligibility, benefit provisions, and support the appeals process. ... of hire. Minimum of three years of healthcare and/or insurance /third party reimbursement experience required to include one year...in specialty or retail pharmacy preferred. Knowledge of commercial, Medicare B, Medicare D and Medicaid pharmacy… more
    Banner Health (08/13/25)
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  • Physician Assistant or Nurse Practitioner-ENT

    UCHealth (Steamboat Springs, 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 (08/09/25)
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  • Accounts Receivable Collector 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 Works and collects ... 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 (08/08/25)
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  • Physical Therapist, Home Health

    Sutter Health (Santa Cruz, CA)
    …- Basic Life Support Certification + DL-Valid Drivers License _Required_ + Automobile Insurance - INSURANCE _Required_ **EXPERIENCE** + One year of professional ... care services, clinical standards of care and practice, Title XXII, Medicare Conditions of Participation, CHAP home health accreditation requirements, QI… more
    Sutter Health (08/08/25)
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  • Case Management Assistant

    HCA Healthcare (Fort Walton Beach, FL)
    …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 (08/08/25)
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