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Under direction of MDS Coordinator, oversee all aspects of the Medicare, Medicaid and Managed Care Programs. Stay informed on Resident Assessment Instrument (RAI) updates and Medicare and Medicaid changes.
$31 - $45 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Maintains compliance with applicable regulatory agency requirements, including The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), State and Local agencies, Occupational Safety and Health Administration (OSHA), etc.
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A Level III trauma center, Providence St. Mary is one of seven hospitals in the state to earn a five-star rating for quality from the Centers for Medicare and Medicaid Services, while also having an accredited Orthopedic Joint Service program as well as a renowned Regional Cancer Center.
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Representing the highest level of patient-centered care, Kadlec’s quality and safety initiatives have earned a 5-star rating from the Centers for Medicare and Medicaid Services, and an “A” grade from the Leapfrog Group for quality and safety.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Provide education to other health care providers, the facility's care team, and the resident/family on Medicare, Medicaid (case mix), managed care, and MDS completion. Oversee clinical reimbursement and case management services within the center for Medicare A and B, managed care, insurance, and Medicaid (case mix.
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Familiarity with Medicare, Medicaid Eligibility, and Temporary Assistance for Needy Families (TANF) programs. In-depth knowledge of Integrated Eligibility Systems (IES) and Medicaid programs.
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This position requires the ability to perform accurate and complete diagnostic coding using American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) and Centers for Medicare & Medicaid Services (CMS) guidelines for Risk Adjustment.
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Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA’s) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.
$17 - $29.88Full-timeWork from homeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Will be responsible for reviewing and processing all Medicare bad debt for Huntsville Hospital Health System and provide to Accounting for the Medicare cost report which includes reviewing the Medicaid cross over reports.
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OSF HealthCare was selected as a NextGeneration ACOs by the Innovation Center of the Centers for Medicare and Medicaid Services. OSF HealthCare was selected as a NextGeneration ACOs by the Innovation Center of the Centers for Medicare and Medicaid Services.
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Applies advanced knowledge of regulatory and accreditation standards such as The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Health Resources and Services Administration (HRSA) to ensure continued compliance in all matters pertaining to professional staff services.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Devereux requires all individuals interviewing for a position involving contact with children to complete The Diana Screen, a screening that assesses a candidate’s understanding of appropriate boundaries between adults and childrenThe Centers for Medicare and Medicaid Services (CMS) COVID-19 vaccine mandate requires staff without an approved medical or religious exemption to be fully vaccinated to be employed in this program.
Starting at $16.5 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ability to apply knowledge of the United Network for Organ Sharing (UNOS)/ Organ Procurement and Transplantation Network (OPTN), the Centers for Medicare and Medicaid Services (CMS) Condition of Participation (CoP) for Transplant Programs, and the Joint Commission governing organ donation and transplantation in the U.S. is required to ensure hospital and transplant program adherence to all regulations.
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Come Join Our Team Cognosante is seeking an outgoing, organized, eager, and proactive individual to fill a remote Security Officer role to support the Center for Medicare and Medicaid Services (CMS) Medicare contract.
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A current and valid Texas RN or LVN nursing license Familiar with Reimbursement system of Medicare, Medicaid & Case Management Must have skilled nursing facility experience. William R Courtney Texas State Veterans Home - Temple, TX MDS Coordinator- LVN or RN Are you an experienced RN OR LVN with long-term care/SNF experience.
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