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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintain PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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VNA Health Group is a premiere Medicare/Medicaid-certified provider of. Associates Degree in Nutrition; Dietetic Technician Registered by CDR of the Academy of Nutrition and Dietetics. Approval from NJ State WIC Office required (per WIC program grant requirements.
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The programs the AVP will have oversight for include but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs.
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3 years of experience in Medicare Risk Adjustment and related data sources. 5 years of experience in Medicare Risk Adjustment and related data sources. Data Governance, will be a lead on data validation and quality control with regards to Medicare Advantage Risk Adjustment.
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Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. About Ciena Healthcare. Sign On Bonus Are you an experienced MDS nurse interested in the next step.
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In particular, the AVP will play a critical leadership role in the development of processes relating to Medicare risk adjustment, documentation, and in-home wellness assessments (in partnership with Humana's Medicare Risk Adjustment team, as well as with external strategic partners), given the importance of these areas to the delivery of value-based care.
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To be considered for this position you must have at least 2 years of Health or Medicare Insurance sales experience and have worked 2 Annual/Open Enrollment Periods. 2 years of Individual health or Medicare Insurance sales.
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The Assistant General Counsel I supports and reports to the Chief Legal Officer and provides legal advice on a wide variety of matters related to Community's Medicare, Medicaid and Marketplace programs and operations including contracting, quality, utilization management, network management, privacy and security, litigation, fraud, waste and abuse, and contractual and regulatory compliance.
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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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We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Experience with mobile frameworks (Ionic, Xamarin, Flutter, React Native, etc.
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If employed at one of our senior living communities that receives Medicare or Medicaid funding, team members must not be considered an "Excluded Party" as defined by the U.S. Department of Health and Human Services, any state Medicaid Programs, and any additional federal and state government contract programs.
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The wellness premium applies only to the Blue Cross Blue Shield Hospital Medical Group #14000 plan for non-Medicare eligible active and retired members, non-Medicare-eligible members on LOA or COBRA, and non-Medicare-eligible spouses on active or retired contracts.
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An active, independent Texas Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Clinical Psychologist Residence in Texas Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
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Perform DME billing for Medicare, Medicaid, Tricare, and other private insurances. Required - High School diploma or equivalent plus 2 years' experience in Medicare/Medicaid and commercial billing - preferably in Durable Medical Equipment setting.
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The primary focus of your regulatory work would be the Department of Health and Human Services (HHS) and specifically, the Centers for Medicare and Medicaid Services (CMS), Center for Medicare & Medicaid Innovation (CMMI), and Food and Drug Administration (FDA.
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medicare job Title: occupational therapist Company: Visiting Nurse Association Of Central Jersey
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