- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits ... and collaborate closely with Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their… more
- AmeriHealth Caritas (Detroit, MI)
- …psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services ( CMS ), state, and organizational guidelines, within the ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... for providers and medical groups. + Participate in additional audit activities for CMS RADV as needed, including retrospective chart reviews. + Travel to provider… more
- BrightSpring Health Services (Knoxville, TN)
- …approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services ( CMS ) and State guidelines and standards. ... facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …Assessments (CAAs) that are assigned to nursing, adhering to current Centers for Medicare and Medicaid Services ( CMS ) and Veterans Health Administration (VHA) ... and takes corrective action when notified by the CLC management team, charge nurse , or designee of...to the Austin Information Technology Center. Communicating Centers of Medicare and Medicaid Services ( CMS ) guidelines changes,… more
- Bon Secours Mercy Health (Lorain, OH)
- …referrals to establish eligibility for care; understand and communicates Center for Medicare & Medicaid Services ( CMS ) medical necessity and admission criteria. ... excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Nurse Team Lead plays a key role in supporting the day-to-day operations of the UM team and serves as a liaison between frontline ... regulatory compliance. Salary: $67,000/annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse Team Lead's responsibilities include but are not limited… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... care indicators and criteria as approved by medical staff, payer guidelines, CMS , and other state agencies. This position prospectively or concurrently determines… more
- Indian Health Service (Pine Ridge, SD)
- …and patient care. Assists in ensuring Nursing Service Compliance with the Center for Medicare and Medicaid Service ( CMS ), as well as Nursing Services Standards ... IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Assesses the educational...in ensuring Nursing Service Compliance with the Center for Medicare and Medicaid Service ( CMS ), as well… more
- Gentiva (Grand Rapids, MI)
- …excellence? If so, consider bringing your clinical expertise to our Hospice Nurse Practitioner team. You'll report directly to the Executive Director or ... the physician's certification or recertification of hospice eligibility-based on CMS regulatory standards.Your assessments help ensure that patients continue to… more