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Coordinates, identifies, and/or initiates significant change MDS’ 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 Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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You should have an understanding of regulations impacting digital products such as FCC (TCPA, CANSPAM), FTC, State Unfair Competition Laws; familiarity with EEOC/ADA/GINA, ERISA, HIPAA, Medicare/Medicaid a plus.
$180,000 - $210,000 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Key Responsibilities Utilize knowledge & skills set to accurately complete Medicare, Medi-Cal, Tricare, Champ VA, Medicaid Programs & other non-specific governmental & commercial (BCBS, Aetna, UHC, etc.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Must have obtained Medicare billing privileges as a nurse practitioner. Knowledge of Medicare reimbursement and coding for all levels of service - home, office, nursing home, assisted living, etc., Medicaid and other regulatory requirements.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Is a leading performance sales and marketing agency specializing in the Medicare Advantage, Medicare Supplemental, and Life and Supplemental Insurance space. with PySpark, Python, SQL, Excel, and data visualization tools (Tableau, Power BI, etc.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Minimum 4 years nursing experience in Home Care or a Medicare certified Hospice. Good Shepherd Hospice is a member of Catholic Health and an integral part of the health care ministry of the Diocese of Rockville Centre.
$125,000 - $135,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services self-funded employee health benefit plan.
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Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. Three Rivers Healthcare Center and Brookside Healthcare Center, members of the CommuniCare Family of Companies, are currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team.
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The Program Manager is a key member of the Medicare Advantage Claims, Configuration and Appeals and Grievance Operations team. Assists in planning, developing, implementing, and managing the Medicare Advantage Claims, Appeals and Grievance program requirements, operational initiatives and policies.
RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Segment Marketing Senior Manager will oversee direct-to-consumer (DTC) marketing for the Cigna Medicare Part D (PDP) business, reporting to the VP of Marketing. DTC Marketing Senior Manager - Medicare - Hybrid.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Minimum Requirements: Baccalaureate degree required, Master's degree preferred Minimum 4 years nursing experience in Home Care or a Medicare certified Hospice Electronic Medical Records experience for clinical documentation Prior managerial or supervisory experience Salary Range USD $125,000.00 - USD $135,000.00 /Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidates qualifications, skills, competencies and experience.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Also included under the oversight of the CFO is Revenue Cycle Management, Patient Experience, Accounts Payable management, Budget & Forecasting, Payroll, Cash Management, General Ledger, Account Reconciliation, Population Health and Grants Management, Health Resource and Services Administration (HRSA) grant reporting as related to the Electronic Handbook (EHB) and Uniform Data Systems (UDS), Medicare and Medicaid Cost Report activities.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Serves as a subject matter expert for clinical documentation integrity (CDI), Case Mix Index (CMI) and multiple reimbursement systems (i.e., APR-DRG, Medicare, Medicaid, etc.) Assist with reviews of all Medicare and Medicaid audits including but not limited to RAC, THHS.
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Must have 3+ years of experience in Medicare/Medicare Advantage along with value based care. What you'll work on: Analysis of Medicare Advantage and Accountable Care Organization data primarily.
$123,000 - $219,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Work with Finance and Billing to establish a system to approve all pre-transplant charges for inclusion on the Medicare cost report. Completes Medicare time studies in a timely manner for inclusion on the Medicare cost report.
ExpandApply NowActive JobUpdated 6 days ago
medicare job Title: visiting nurse association Company: Visiting Nurse Association Of Central Jersey
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