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Knowledge of CMS policies, commercial insurers, managed care, government and federal payer sectors, IDNs, and IHS required. The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product.
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The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including acting as an extension of patient support program and in other collaboration with other partners.
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Follows policies and procedures, including those of UPG, UVA Medical Center, CMS and other contracted payers with which the entity may contract. The APP hired for this position will join a collaborative team of APPs, physicians, and specialists managing a population of critical care medicine patients at the UVA Medical Center in Charlottesville, VA within UVA School of Medicine's Division of Pulmonary & Critical Care Medicine and UVA Health's Center for Advanced Practice.
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The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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In cooperation with the market access account management team, the Contract Operation & Pricing Executive/Senior Director is accountable for managing Sobi relationship with government agencies and purchasing organizations (VA, FSS, 340 B, Medicaid, Medicare, CMS, Payers, Wholesale Distributors and SPs.
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Guardian Healthcare complies with the requirements of the CMS Interim Final Rule, effective 1/27/2022, requiring mandatory COVID-19 vaccinations, or CMS required allowance for exemption, for workers in hospitals and most health care settings.
$45,000 - $48,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Maintains and meets expectations on time for all competencies, license, certifications and education requirements as outlined by local administration, Adventist Health (AH), The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and all other regulatory agencies.
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The 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.
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Training may take place in a facility or a training facility other than your assigned home facility. DaVita is seeking a Registered Nurse at Wellstar Hospital (Griffin, GA) who is looking to give life in a hospital setting.
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Participates in CMS and UNOS survey readiness activities. Certified Clinical Transplant Social Worker (CCTSW) credential. Jointly operated by both schools, the department creates an academic home for social workers and other integrated behavioral health providers to improve the health of individuals, families and communities, create value in health care, innovate new models of health social work and integrated behavioral health practice, and build civic and community engagement and connections.
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Familiarity with building and fire alarm codes and standards (IFC, IBC, NFPA, CMS, etc.) LI-MP1 Low voltage, Electrical wiring, fire alarms, Fire Alarm Sales, fire alarm system, Fire alarm control panel, Building safety interfaces, safety devices, nicet, nfpa, axis ax, wheelock, exceder, 4100es, truealert, safelinc, next-in protection, firelite, fire light, fire-light, silent knight, simplex, siemens, notifier, edwards, est, gamewell, mircom, fike, vigilant, siemens xls, siemens mxl.
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Description : JOB SUMMARYThis job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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The ideal candidate will understand the purpose of these technologies and have some experience with them, or with equivalent technologies:Cisco IP audio and video endpoints, Unified Call Manager (CUCM), Expressway Meeting Server (CMS), Meeting Management (CMM), Telepresence Management Suite (TMS), Prime, and Identify Services Engine.
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The new Magnet designation is in addition to several other prestigious recognitions which include: a five star rating from the Centers for Medicare and Medicaid Services (CMS), being named by IBM Watson Health as one the nation's highest performing hospitals, and among the top 10 Major Teaching Hospitals, an A for Patient Safety by The Leapfrog Group, the #1 hospital in the DC metro area by U.S. News & World Reports, and being nationally ranked in gynecologic care.
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Develop and implement dynamic web applications across various CMS platforms, including WordPress, Shopify, and headless CMS solutions, with a focus on Drupal and Laravel. NET CMS platforms, including WordPress, Shopify, Contentful, Umbraco, Kentico, Drupal, and Cascade.
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cms job Title: facility administrator Company: Davita Kidney Care
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