- Humana (Springfield, IL)
- …and Resolution Professional reports to the Claims Research and Resolution Associate Director and is responsible for tracking and trending IL FIDE D-SNP claims ... of managed care contracts, including provider contract language and reimbursement + Excellent written and verbal communication skills **Additional Information**… more
- BAYADA Home Health Care (Wilmington, MA)
- …fill the position of **Home Health Nurse Manager** for our **Wilmington, MA** Medicare Certified home health office. This office provides best-in-class care to adult ... direct deposit and employee assistance program. + Field mileage reimbursement . **As a Home Health Nurse Manager your day...+ Work closely with the Rehab Manager (where applicable), Director , and DCO to ensure cohesive and consistent management… more
- University of Virginia (Charlottesville, VA)
- …Manage human resources and utilization. + Supervise therapy clinicians. + Manage to Medicare , Medicaid, TJC, and/or CARF regulations. + Manage Children's OT, PT, and ... make offers of employment. + Oversee continuing education and tuition reimbursement . + Manage staff development, providing mentoring, coaching, and disciplinary… more
- Fairview Health Services (Hibbing, MN)
- …no weekends. _Internal posting through: 6/24/25_ **About this facility:** + Medicare Certified Agency + Care team includes RNs, Physical Therapists, Occupational ... Therapists, Social Workers, LPNs, HHAs, Chaplain, Volunteers, Physician Medical Director and a Nurse Practitioner. **About Fairview Range** Fairview Range is an… more
- The County of Los Angeles (Los Angeles, CA)
- …meet State and Federal mandated standards and are in compliance comply with Medicare and Medi-Cal rules for reimbursement claiming. Oversees revenue generation ... in assigned programs to ensure revenue is maximized. Assists the Deputy Director or higher-level manager to develop and implement objectives, goals, policies, and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …days, all causes * Assist with the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed * Reviews medical records of ... * Participate in review of long-stay patients, in conjunction with the Director /Manager of Case Management and to facilitate determination of the most appropriate… more
- WelbeHealth (Riverside, CA)
- …- weekends off, PTO, sick days, & 12 paid holidays + **CME reimbursement ** and malpractice/tail coverage + **Growth opportunities** to become a medical director ... or Geriatrics. Must be eligible for enrollment to provide services to Medicare and Medi-Cal participants. Board certification preferred. If you're ready to join… more
- Cambridge Health Alliance (Cambridge, MA)
- …in the hospital setting. Summary: Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management ... and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other… more
- National Health Care Associates (Ridgefield, CT)
- …healthcare or long-term care industry + Strong understanding of billing and reimbursement processes, including Medicare , Medicaid, and third-party payers + ... the accounts receivable reporting functions for multiple facilities * Work with the Corporate Director of AR in reviewing outcomes of facility AR reporting * Will be… more
- Sharp HealthCare (La Mesa, CA)
- …Management.Assure correct documentation is present for 2MN benchmark and presumption.Assure Medicare Inpatient to observation status changes follow Condition Code 44 ... as indicated with third party payers to obtain necessary authorization for reimbursement of services. Obtain approved days/LOS from provider and communicates this to… more