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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintain PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needsCoordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
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PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients.
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Strong understanding of value-based care which includes -Medicare Advantage Plans and Medicare Shared Savings Accountable Care Organization. The DVBC manages value-based membership growth through various enrollment levers such as; aged-in member conversion, the Medicare Annual Enrollment (AEP) Period, member voluntary alignment, acquisition membership pull through, and new provider/de-novo membership ramp.
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We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Experience with mobile frameworks (Ionic, Xamarin, Flutter, React Native, etc.
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As a Medicare Sales Consultant you will attend a 40-hour, instructor-led learning session to prepare for passing the state health exam. Medicare Sales Consultant (College/Military) Fully understand, abide by and stay current with all Center for Medicare and Medicaid Services (CMS) rules and regulations as they pertain to duties assigned Work with internal supervisors, managers, training staff, and customer service representatives Performs other related duties as assigned Base pay + uncapped commission potentials along with competitive benefits for yourself & your family.
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Interviewing and assessment techniques; vocational rehabilitation and/or related occupational fields, knowledge of word processing and eClinicalWorks electronic health records data entry; HIV disease and related chronic illness and disability issues; comprehensive understanding of public benefits programs and policies; qualified health plans, including, but not limited to Covered CA, Medi-Cal, Medicare, My Health LA, and Ryan White.
$25.6 - $28.43 an hourExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
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Experience with Medicare or Medicaid, DSNP, MAPD, MME as well as commercial insurance, and/or LTC/LTSS organization. Keeping the patient and member at the center, this leader will drive the strategy and execution of Optum at Home. The leader will also lead our collaboration with UnitedHealth Care in the management of Medicare Advantage Individual and Dual Special Needs populations.
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As the first Accountable Care Organization (ACO)accredited by Medicare in Utah, and the only Next Generation ACO in the state, Revere Health offers a unique, patient-oriented approach to healthcare.
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Familiarity with mental health issues, HIV/AIDS, and state and federal laws regarding disability benefits (SSI, SSDI, OHIPP, ADAP, Covered California, Medi-Cal, Medicare, etc.) Helps clients apply for public disability benefits such as SSI, SSDI, and CAPI as well as address other health insurance and related issues including Medicare and Medi-Cal. Advocates for clients throughout the claims process, negotiating with SSA, disability analysts, Medi-Cal, and Covered California as needed.
$81,000 - $85,000 a yearExpandUpdated 13 days ago - UpvoteDownvoteShare Job
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Job Description :Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual position; the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
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See clients in our art therapy room) Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
$42 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services.
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