- Ellis Medicine (Schenectady, NY)
- …in the chart. Assists Case Manager with medication prior authorizations. Provides Medicare Important Message to Medicare beneficiaries per CMS Conditions of ... MIDAS per policy. Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals. * Denial Management Activities; Assists… more
- Kelsey-Seybold Clinic (Shenandoah, TX)
- …insurers to offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Gentiva (Independence, OH)
- …ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide leadership and operational oversight ... operations leadership + Strong understanding of hospice regulations, compliance, and Medicare conditions of participation + Proven ability to manage teams, budgets,… more
- Sutter Health (Alameda, CA)
- …+ Current PPD + DL-Valid Drivers License Class C or B + AUTO-Automobile Insurance **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + 1 Minimum of one year of ... clinical standards of physical therapy care and practice, Title XXII, Medicare Conditions of Participation, JCAHO home health accreditation requirements, QI audits,… more
- Fallon Health (Springfield, MA)
- …innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **About… more
- AdventHealth (Orlando, FL)
- …physician and in compliance with regulations and standards identified by the Medicare Hospice Conditions of Participation, Florida Nurse Practice Act, and the ... accurately and safely. + Maintains accurate and thorough documentation per Medicare guidelines. **The expertise and experiences you'll need to succeed:** **Minimum… more
- Kelsey-Seybold Clinic (Spring, TX)
- …insurers to offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Sutter Health (Alameda, CA)
- …Life Support Healthcare Provider + DL-Valid Drivers License Class C + AUTO-Automobile Insurance **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + 1 One year of ... care services, clinical standards of care and practice, Title XXII, Medicare Conditions of Participation, CHAP home health accreditation requirements, QI… more
- Queen's Health System (Honolulu, HI)
- …credentialing packages as required by hospitals, surgery centers, commercial payors, Medicare and Medicaid. * Performs credentialing in accordance with policies and ... of The Queen's Health Systems (QHS) and in compliance with federal, state, insurance carriers, health plans and other third party payor requirements. II. TYPICAL… more
- LA Care Health Plan (Los Angeles, CA)
- …and adherence to LA Care's Policies & Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services ... California Department of Managed Health Care (DMHC), the Managed Risk Medical Insurance Board (MRMIB), National Committee for Quality Assurance (NCQA) and other… more