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Community Health Worker collaborate with Case Managers, (CMs), and Utilization Management, (UM), Nurses to address co-occurring physical health, behavioral health, and social factors affecting members.
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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.
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Participates in the coordination and completion of multidisciplinary efforts in regard to regulatory preparedness and completion of applications (e.g. Hospital Accreditation and Licensure, CMS Database Forms, ICM completion, measurement of success data, DPH/DOH or CMS corrective action plans, and clinical charter teams.
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Assists with formulation, implementation and management of general safety policies and procedures to be followed by Lexington Medical Center (LMC) that are in compliance with local, state and federal OSHA/CMS and state DHEC rules and regulations including addressing non-compliance issues.
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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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Industry: Professional Services, Marketing, Technology, Digital Asset Management (DAM),Category: Content Management System (CMS), Rights Management, Tagging, Metadata, Quality Assurance, Information Science Position Summary: The Digital Content Coordinator is responsible for providing digital content workflow support to our clients, typically working within their DAM, PIM, CMS or other content repository which is a SAAS-accessible application.
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Educate providers on risk adjustment: its purpose, CMS-HCC coding rules and guidelines, open condition reporting, identifying unreported conditions, proper documentation for MA, MSSP, ACO Reach, and DCE patients.
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What you need as a Registered Nurse (RN) Must be fully licensed through the state as a Registered Nurse (RN) Ability to perform physical tasks typically performed in R N work Graduate nurses with a temporary practice permit are welcome to apply About our parent company Guardian Healthcare Guardian Healthcare is both our name and our philosophy.
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Assists in providing functional support for the financial aid modules of PeopleSoft CMS system and OnBase Image & Workflow system. The position serves as a campus Subject Matter Expert (SME) for the CSU's Common Management System (CMS), the CSU version of PeopleSoft's Campus Solutions Product.
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The role will provide subject matter expertise to assigned providers and internal matrix partners of Cigna Medicare’s programs specific to CMS Risk Adjustment and HCC Coding Processes. Working Knowledge of CMS Risk Adjustment and HCC Coding Process.
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The Credentialing Manager will conduct all aspects of third-party credentialing for providers and facilities in accordance with CMS, FQHC (Federally Qualified Health Center) and third-party insurance standards.
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ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are. Conducts process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.
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The successful candidate will have demonstrated experience supporting federal healthcare agencies including the Department of Veterans Affairs (VA), Defense Health Agency (DHA), and Department of Health and Human Services (HHS) (NIH, CDC, CMS, etc.
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Riverview is also the areas highest rated hospital, receiving Four-Stars from the Centers for Medicare and Medicaid (CMS). Riverview Regional is now hiring a Full Time Phlebotomy Technologist for our Lab. The Phlebotomy Technician I primarily perform skin puncture or venipuncture on patients of all ages for the purpose of obtaining a blood specimen for analysis in the clinical laboratory and is under the supervision of Laboratory Director / Manager / Supervisor.
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Adena Pike Medical Center (AMPC) is a 5-star hospital rated by the Centers for Medicare and Medicaid Services (CMS). Hiking, fishing, hunting, camping, boating, and swimming are available at Pike Lake State Park, Lake White State Park, and Long's Retreat.
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cms job Title: dietary aide Company: Ish Dining Services
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