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The Medical Director, Medicare (MDM) provides organizational leadership in the Population Health (PH) Medicare Line of Business (LOB) under the direction of the Medicare (MC) CMO, in areas such as care management, utilization management/medical cost, quality results, provider performance and policy, to advance ACFC and Medicare Plan objectives and improve the health of our member population.
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We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. Earn additional compensation via our pay-per-test model (for visits where the health plan member qualifies to receive additional diagnostic and preventive tests.
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Strong analytical skills, knowledge of health plan operations including medical management, enrollment, claims, EDI transaction processing, knowledge of Medicare and Medicaid plans, financial reconciliation and IT/ Data systems knowledge.
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Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a field setting. Become a part of our caring community and help us put health first.
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With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years.
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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
$40 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.
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WellMed is mostly a Medicare Advantage Plan that operates as a health system focused on quality/value-based outcomes. 401k with match, Executive Savings Plan, and UHG Employee Stock Purchase Program.
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This position requires a valid drivers license and that the employee is insurable by the Avera Health automobile liability insurance carrier. Award Winning Health Care: Avera has been named among the nations 15 Top Health Systems, Forbes list of Americas Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.
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RN Field Clinical Care CoordinatorTransitions - Denton, TXFor more information about this role and others, please join us for a virtual hiring information session with Marian Cabanillas, Health Plan CEO, to learn more about our organization, roles available and next steps.
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Participate, implement and update the nursing care plan. Health, Dental, Vision, and Life Insurance. Home health experience. Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
Starting at $26 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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These visits include a medication and medical history review and a physical evaluation performed in a health plan member's home. In-home visits allow us more time to educate health plan members and assess their understanding of their treatment plans without the typical time restraints found in a traditional office setting.
Starting at $80 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. As a proud member of Trinity Health, one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.
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Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group.
Up to $48.53 an hourInternExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Operationalizes and assures compliance with Center for Medicare & Medicaid Services (CMS), Occupational safety and Health Administration (OSHA), Center for Disease Control and Prevention (CDC) and Patient Safety regulations at the service line level.
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