- Sarasota County Government (Sarasota, FL)
- …Improvement measures in collaboration with EMS billing. + Manage ambulance billing compliance with Medicare , Medicaid, and private insurers while ensuring HIPAA ... EMS quality improvement programs, patient care documentation, and regulatory compliance . This role manages operational and administrative responsibilities, including… more
- Hawaii Pacific Health (Lihue, HI)
- …hour **Category:** Health Information Management **Minimum qualifications:** Current Hawai'i Registered Nurse License. Bachelor's degree and/or equivalent ... work to improve the overall quality of medical record documentation to ensure compliance with Medicare and Medicaid (CMS) guidelines and to expedite… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established guidelines to determine… more
- Carle Health (Peoria, IL)
- …provides consultation to acute care patient care units Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... care. + Evaluates patient/family cultural needs to promote comfort and compliance to prescribed regimens. + Evaluates patient/family cognitive skills and adjusts… more
- Gentiva (Jeffersonville, IN)
- …assurance across multiple hospice sites. + **Ensure Regulatory Excellence:** Maintain compliance with Medicare , state licensing, accreditation, and federal ... hospice operations. This high-impact leadership role will ensure regulatory compliance , strategic growth, quality care delivery, and community engagement across… more
- Dignity Health (Woodland, CA)
- …review for appropriate level of care and medical necessity using InterQual and Medicare criteria. This position will work closely with the hospitalist team, Dignity ... Non-coverage (HINN) and Advance Beneficiary Notice of Noncoverage (ABN) to include compliance monitoring. - When barriers are identified assists the patient family… more
- National Health Care Associates (Glens Falls, NY)
- …$95,000.00 /Hr. **-** **What You'll Bring:** **Qualifications of a MDS Coordinator / Nurse Assessment Coordinator include:** + Valid state RN nursing license + ... Great **What You'll Do:** As an MDS Coordinator / Nurse Assessment Coordinator, you will complete and assure the...+ Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS… more
- National Health Care Associates (Wethersfield, CT)
- …of our residents **-** **What You'll Bring:** **Qualifications of a MDS Coordinator / Nurse Assessment Coordinator include:** + Valid state RN nursing license + ... reimbursed.** **What You'll Do:** As an MDS Coordinator / Nurse Assessment Coordinator, you will complete and assure the...+ Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS… more
- Serenity Hospice Care (Trenton, NJ)
- …Serenity Hospice is looking to add a dedicated and compassionate Admissions Nurse to delivering exceptional care, comfort and support to patients. They will ... assessments to determine hospice eligibility based on clinical criteria and Medicare guidelines. + Clearly and compassionately explain hospice philosophy, services,… more
- Highmark Health (Pittsburgh, PA)
- …unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with ... degree + 3 years in a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact… more