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Are you currently enrolled in a minimum of 6 units in Police Science, Criminal Justice, Administration of Justice, or a related field in anticipation of obtaining an Associate Degree from an accredited college or university.
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OR have recenlty completed STNA training program with a scheduled test date OR actively enrolled in an STNA training program. OR have recenlty completed STNA training program with a scheduled test date OR actively enrolled in an STNA training program.
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The Patient Care Navigator provides telephonic and field-based case management services to clients enrolled in the CALAIM Enhanced Care Management and Community Support Program. Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement.
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This 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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Three (3) or more years of professional experience in Case Management, in Medicaid and/or Medicare, specifically in the delivery of care for elderly or special needs populations such as the Aged, Blind and Disabled (ABD) and those enrolled in Long-Term Services and Supports (LTSS) Waiver Services, in hospice and/or in nursing facilities.
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The Nurse Case Manager will be responsible for independently determining eligibility of children with special health care needs applying for or enrolled in the CMH Program. Use independent judgment in the coordination of complex CMH treatment plans with other state and federal programs (e.g., Title XIX, RSC, SSI, Help Me Grow, MRDD, Ryan White, schools.
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Must be enrolled as a full time student in a Corrosion centered or Pipeline Integrity degree program and completed at least one full year and require an internship for credit hours. Maintains and supports all equipment, including Allegro QX, MC Miller Soil Res Box, Trimble, Fluke Meter, Reference Cells.
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The University of Maryland, Division of Child and Adolescent Psychiatry, National Center for School Mental Health Counselor position would provide a full continuum of mental health services and consultation to youth with severe behavioral and emotional challenges who are enrolled in Prince George’s County Public Schools.
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The successful candidate will also be enrolled into FBI's Rap Back service, which will allow Treasury to receive notification from the FBI of criminal matters (e.g., arrests, charges, convictions) involving enrolled individuals in near real-time.
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Responsible for acting as a parent/caregiver advocate for individuals and families enrolled in DMH Wraparound Program. Individual must have a child or close relative in the child welfare or juvenile justice system with an emotional disability and have personal life experience with either DMH, Probation or DCFS.
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
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Teladoc for Immediate Care (when enrolled in a health plan) Health Savings Account (HSA)(when enrolled in a health care plan) LCSW, LCPC, Licensed Clinical Psychologist, Advanced Practice Nurse (APN) with a Psych specialty, Licensed Marriage and Family Therapist (LMFT.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
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Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding.
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The ICC at BAMSI provides support, the coordination of services and advocacy to parents/caregivers enrolled in the program. T he Care Coordinator provides support, the coordination of services and advocacy to parents/caregivers enrolled in the program.
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enrolled job Title: tax accountant Company: Intuit
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