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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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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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Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Physical Therapist Assistant Home Health Care: One year experience in supervised clinical practice in acute care or rehab setting preferred.
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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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1+ years of experience with long term care services and support, Medicaid, or Medicare. Licensed Master's Social Worker (LMSW), Licensed Professional Counselor (LPC) and/or Licensed Bachelor Social Worker (LBSW) OR RN in the state of Texas.
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Knowledgeable of InterQual and Milliman Care Guidelines (MCG) medical necessity criteria Understanding of Medicare, Medicaid and third party reimbursement methodologies. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials.
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This position performs data maintenance for Provider Data Management System and supports various functions within the WI Medicaid Market for all lines of business (Medicare DSNP, Medicaid, and Long term Care), including but not necessarily limited to supporting Provider Network Development and Credentialing.
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Policies: Complete all clinical documentation following agency protocol and Medicare/Federal guidelines. Alternate Solutions Health Network LLC is seeking a Home Health Speech Language Pathologist for a job in Akron, Ohio. Job Description & Requirements Specialty: Speech Language Pathologist Discipline: Therapy Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: Summa Health at Home and Hospice Our culture and people are what set us apart from other post-acute care providers.
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1 years of experience in medical records coding (HCC Coding) with knowledge of Medicare, Marketplace, and Medicaid risk adjustment is required. For Collaborative Health Systems: Required 5 years of experience in a hospital, a physician setting or a Managed Care Organization as a medical coder Required 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) Required Other experience in teaching, training or an educator/instructor role required; but provider education experience is preferred Preferred Other managed care experience.
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Case Management experience is defined as management Case Management and/or Utilization Management functions within a health plan specific to government programs (i.e. Medicaid, Medicare, DSNP, LTSS, etc.
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Represent and serve as point person for the state health plan and Centene Corporation to outside trade groups/stakeholders including state AHIP organization, state medical association, state hospital association and related Medicare and Medicaid business vendors.
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Proudly serving Medicare, Medicaid, VA, VA Choice, Tricare, and Project Access patients. Beautiful new state-of-the-art facilities, organization, and on-site ancillary services: Infusion department Electrodiagnostic Medicine, Acute pain management Occupational and Physical Therapy Custom casting & orthotics department MRI, CT, X-ray, Ultrasound, Bone Densitometry State-of-the-art EMR, practice management, PACS, other advanced electronic systems with on-site expert IT and IT development staff Optimal positioning for transition to value-based reimbursement methods.
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Per the Centers for Medicare and Medicaid Services (CMS), COVID-19 vaccination is required, with exceptions for medical and religious accommodations when reasonable. Unit Manager - RN/LPN - Day Shift, Full-Time.
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In this role, the Clinical Assessment Outreach Manager will be accountable for educating referral sources and prospects about the network's Program of All-Inclusive Care for the Elderly (PACE), including services offered and Medicare and Medicaid eligibility.
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Alternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Home Health Hospice for a nursing job in Akron, Ohio. Job Description & Requirements Specialty: Hospice Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: Summa Health at Home and Hospice Our culture and people are what set us apart from other post-acute care providers.
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medicare medicaid rn jobs Title: coordinator Company: Unitedhealth Group
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