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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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In addition, we will help you advance your career with tuition reimbursement, discounts and other support. Ciena Healthcare is Michigan's largest provider of skilled nursing and rehabilitation care services.
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Avosys is seeking a Bexar County Remote Registered Nurse - Medical Review Specialist to work remotely to review Medicare claims. Utilize the applicable Medicare policies (i.e., Local Coverage Determinations, National Coverage Determinations, Internet-Only Manual (IOM) citations, inpatient tools, etc.
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Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
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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.
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Policies: Complete all clinical documentation following agency protocol and Medicare/Federal guidelines. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions.
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See Ciena Healthcare Management Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at. The Care Management Nurse, MDS Nurse LPN works the RAI process and conducts assessments and care plan coordination for those residents assigned.
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Maintains, updates and has thorough knowledge of policies and procedures, rules, regulations, and technical objectives as they are used by DCF, SSI, SSA, AHCA, Medicare, Benefit Recovery, Child Support Enforcement, Foster Care, Adult Protection, Bureau of Victim Compensation, and Labor Dept; as they apply to patients that are undocumented, legal alien, disabled, children, adopted, emancipated.
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The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
$98,280 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Manipulates and extracts Medicare, Medicaid, and other healthcare claims data stored in Cloud environment using appropriate software such as SAS, Snowflake, Python, R, SQL, and other software as appropriate for the task.
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Senior R programmer with RWD experience and required experience in CMS data (Medicaid, Medicare, etc). Must have hands-on RWD/RWE experience with CMS data, large-scale administrative claims data sources (e.g., MarketScan, Optum, Medicare LDS SAF, Komodo claims), and EHR.
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Minimum of one year paralegal/legal assistant experience, preferably in healthcare environment or experience in Medicare or Medicaid provider enrollment or private payer enrollment/credentialing.
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Lake Ridge Care Center is a Medicare/Medicaid-certified facility offering 24-hour skilled nursing care, on-site rehabilitation, and restorative nursing programs. At Lake Ridge Care Center, youre not just starting a job; youre joining a caring community committed to excellence and support.
$19.44 an hourFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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About the roleThe Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work with management to meet communicated single and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing Risk Adjustment processes.
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Assesses, via electronic systems, patient’s insurance plans and benefits, such as MassHealth eligibility and Medicare benefits and facilitates coordination with Patient Financial ServicesPrepares, explains to patients, and documents delivery of the Medicare Important Message and Medicare Outpatient Observation Notice.
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medicare job Title: decision support analyst Company: Highmark Health
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