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The position also requires Qualified Mental Health Associate (QMHA), as the position is located in the Multnomah County Community Health Center, which is a covered Federally Qualified Health Center (FQHC) under the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services.
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Cardiology, bariatric surgery, oncology, endocrinology, primary care, allergy, immunology & rheumatology, pulmonology, elderly services, infectious diseases, hematology, women's health, nursing, gynecology, labor and delivery, neurology, rehabilitation, mental health servies, behavioral health services, neurosurgery, physical therapy, and orthopaedics.
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We CARE for our patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers.
$40 an hourPart-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Alternate Solutions Health Network LLC is seeking a LPN / LVN Home Health for a job in Canton, Ohio. Job Description & Requirements Specialty: Home Health Discipline: LPN / LVN Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: Mercy Medical Center Home Health and Hospice Our culture and people are what set us apart from other post-acute care providers.
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Alternate Solutions Health Network LLC is seeking a Home Health Physical Therapist for a job in Dayton, Ohio. Job Description & Requirements Specialty: Physical Therapist Discipline: Therapy Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: Kettering Home Care Our culture and people are what set us apart from other post-acute care providers.
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Founded in the early 2000s, this group cares for Medicare Advantage, Managed Medicaid, and Commercial beneficiaries in the home acting as the bridge to care by connecting patients to the resources and support they need.
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This position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare Cost report filings and audits, AHCA (Agency for Healthcare Administration) Florida Medicaid payment systems and staying current on all government regulatory changes and CMS/Federal and State proposals to change reimbursement methodologies and payment systems.
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Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
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Certified Professional Utilization Management (CPUM) from McKesson Health Solutions. Health Care Quality and Management Certification from American Board of Quality Assurance and Utilization Review Physicians (ABQAURP.
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The Assistant General Counsel supports and reports to the Chief Legal Officer and provides legal advice on a wide variety of matters related to Community's Medicare, Medicaid and Marketplace programs and operations including contracting, quality, utilization management, network management, privacy and security, litigation, fraud, waste and abuse, and contractual and regulatory compliance.
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At least two (2) years experience in mental health setting and experience working in Inpatient and/or Outpatient treatment services OR Behavioral Health Case Manager - Autism Minimum two (2) years recent experience in case management and working with community resources, specifically related to the assessment, diagnosis and intervention of Autism Spectrum Disorders.
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Physician Assistant / Nurse Practitioner will work autonomously to see Medicare age patients in the home, performing annual comprehensive health assessments. The in-home, comprehensive health assessments include diagnostic testing, risk identification, medical management, and tailored lifestyle improvement plans.
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Board Certified Family Nurse Practitioner / FNP, Acute Care Nurse Practitioner / ACNP, or Adult-Geriatric Nurse Practitioner / AGNP. Ideal background is a Nurse Practitioner with urgent care or ambulatory experience.
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Ensure the facility meets all standards and compliance with federal regulations related to emergency management planning, such as The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), Environmental Protection Agency (EPA), National Fire Protection Association (NFPA), Centers for Medicare & Medicaid Services (CMS), and Department of Homeland Security (DHS) regulations and standards.
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medicare medicaid utilization management behavioral health jobs Company: Commonwealth Care Alliance Inc
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