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What we need from you:Prior experience in a Skilled Nursing Facility (SNF) is requiredExperience with Public Aide / Medicaid billing and collections is required Previous experience with Medicare / Managed Care billing is helpfulPoint Click Care (PCC) software experience is idealPlease specify detailed billing experience (when, where, how often, collectables.
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Minimum 2 years "telephonic" Case Management experience with a Managed Care Company preferred. Managed Care experience preferred. The “Telephonic” Nurse Case Manager II is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
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Long-term care and utilization management of MLTC and personal care services (PCS) for Medicaid managed care. MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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The Resident Care Coordinator is responsible for all activities and operations taking place in the Assisted Living community of a given managed community. Welcome to Distinctive Living , we're seeking a Resident Care Coordinator Overnight Full-time at Inspired Living at Lakewood Ranch Here at Distinctive Living , we want our people to realize their full potential.
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Supports Managed Care Contracting and Revenue Cycle by gathering, analyzing, and sharing data on managed care payors' compliance with payment provisions of their contracts with CHST providers and developing and implementing strategies for improving payer contract compliance, resulting in increased net revenue.
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Preeminent clinical service for all neonates admitted to the Level IV neonatal intensive care units (NICUs) managed by the Division of Neonatal Perinatal Medicine;Â high-risk delivery service and consultation with high-risk mothers on the obstetric service Primary day time attending coverage in the Riley Hospital for Children at IU Health with the possibility of day time service at other NICUs managed by the Division of Neonatal-Perinatal Medicine.
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Infinite Medical P.C (Managed by MedElite) is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care to residents in skilled nursing and long-term care facilities.
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Required Skills & Abilities: 4+ years of IT experience in managed services, help desk, service desk, desktop support, system administrator, or network administrator positions. Confidently troubleshoot Tier 1-Tier 2 issues, including Windows Server, Active Directory, Active Sync, LAN/WAN, MS Exchange, O365 (Teams, SharePoint, Azure, Auto Pilot, Intune, etc.
$80,000 - $90,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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We are seeking builders for our Amazon MSK service, a fully managed service that makes it easy for customers to build and run applications that use Apache Kafka to process streaming data. Come build the future of data streaming with the Amazon Managed Streaming for Kafka (MSK) team.
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Role Overview: This role, Program Integrity Managed Care Coordinator, is responsible for the oversight and managing the work of the the State's Managed Care Entities (MCE) Special Investigation Units (SIU) to ensure that fraud, waste, and abuse in the Indiana Medicaid system is addressed.
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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. QUALIFICATIONS & EXPERIENCE REQUIREMENTSGraduate of an accredited school of nursing; RNValid RN license in the state employedThree years of experience in a long term care environment preferredExperience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIESThe 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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The AV/VC Support Specialist role will support and collaborate with the customers management team and other departments to deliver an array of managed services surrounding the utilization, operation, and implementation of Audio Visual/Video Conferencing.
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THE COMMUNICARE COMMITMENTA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH.
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Ascension Borgess Hospital includes more than 130 sites of care in 15 southern Michigan cities, as well as eight owned or affiliated hospitals, a nursing home, ambulatory care facilities, home health care, physician practices, managed care services, and a cancer center.
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managed care jobs Title: pharmacy technician Company: Genoa Healthcare Company
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