- Catholic Health Services (Rockville Centre, NY)
- …2 years of experience in care coordination, population health, or primary care preferred . + Experience with Medicare Annual Wellness Visits, transitional care, ... discharge planners and primary care providers to ensure continuity of care. Medicare Annual Wellness Visit (AWV) Management + Manage and maintain databases of… more
- CenterWell (Sun City, AZ)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... Qualifications:** + Minimum of two to five years directly applicable experience preferred + Successful completion of a Nurse Practitioner program with Board… more
- CenterWell (Phoenix, AZ)
- …Provider Number + Minimum of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with ... + Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of… more
- Molina Healthcare (Fremont, NE)
- …Healthcare of Nebraska** is seeking a dynamic **Sr Community Engagement & Growth Specialist in/near the Norfolk or Freemont areas.** There may be occasional visits ... community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, … more
- Hartford HealthCare (Hartford, CT)
- …(CPC), Certified Coding Specialist - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within ... and tools 2. Implements documentation and coding training programs for Medicare Advantage contracted providers. Presents coding and documentation education in a… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professionals and medical facilities + Communicate with collaborating physician or specialist regarding patient care Provides exemplary patient care Timely and ... of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …when appropriate * Collaborates with department director and professional development specialist to develop standard work and expectations for the utilization review ... compliance to regulatory and health plan requirements for authorization, including Medicare Inpatient Only List and communicates to provider to obtain accurate… more
- Molina Healthcare (Dayton, OH)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- HCA Healthcare (San Antonio, TX)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with medical necessity,… more
- University of Colorado (Aurora, CO)
- …reporting to leadership and the board. + Coordinates and submits annual Medicare and Medicaid cost reports, quarterly audit and reporting requirements, and ... reports, as assigned. **Supervision (10%)** + Manages and supervises the Billing Specialist to achieve clinic and college organizational goals by ensuring assigned… more