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Five of Mission Hospital McDowell's primary care practices have been recognized by the Centers for Medicare & Medicaid Services as Rural Health Clinics. Medical specialties offered include family medicine, internal medicine, pediatrics, orthopedics, urology, obstetrics and gynecology, and walk-in, non-emergency care at Mission My Care Now McDowell.
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The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an "A" for patient safety.
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Serve in the role of Medicare Services Coordinator (MDS Coordinator) as neededPuts patients first; ensures that patients and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals’ needs and rights Qualifications for the Restorative Nurse:RN Registered Nurse or LPN Licensed Practical Nurse in the State of Illinois.
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Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services self-funded employee health benefit plan.
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
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Long term care, acute care or subacute experience, preferred Knowledge of MDS, payer systems and contracts (Medicare, HMO's, Managed Care, Third Party Payer Systems) Demonstrated organizational skills and abilities to handle multiple priorities accurately and time to facilitate customer and program needs.
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The Medicare Cost Report & Reimbursement Manager will act as the day-to-day leader of Northside Hospital’s Government Reimbursement Function. This position will require leadership skills and will also require maintaining a high degree of knowledge on Medicare Cost Report instructions, data inputs, and changes to Medicare and Medicaid regulations related to Reimbursement.
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Accurately assigns discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. Job Qualification Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCSP), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC), required.
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Preferred QualificationsPreferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high risk/chronically ill patients.
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This role is needed to support the ever-growing list of initiatives across the expanding Medicare Organization (e.g. Customer Retention, DTC, HPOne, Service, Broker, Operations, CSB, etc) This individual will be responsible for delivering initiatives critical to the Cigna's Sales Medicare organization by coordinating across various departmental and matrix partners to deliver critical solutions in support of the Government segment.
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Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA. Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA.
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Presbyterian Rust Medical Center was named a top performer for quality and patient safety at the annual meeting of the New Mexico Hospital Association, based on the most recent 12 months in the Hospital Improvement Innovation Network, a program funded by the Centers for Medicaid and Medicare Services.
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Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. River Oaks Healthcare Center a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team.
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Community Health Choices will impact more than 400,000 people statewide who are dually eligible for Medicare and Medicaid or receive Medicaid funded long-term services and supports (LTSS). Knowledge of commercial, Medicaid, Medicare products, managed care principles, and home and community-based services preferred.
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Martinsburg Healthcare Center, a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team. QUALIFICATIONS & EXPERIENCE REQUIREMENTS Graduate of an accredited school of nursing; RN or LPN Valid RN license in the state employed Three years of experience in a long term care environment preferred Experience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIES The MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process.
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