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Under the direction and supervision of the Director of Nursing Services, the Medicare/MDS Coordinator is responsible for notifying and coordinating the Interdisciplinary Team (IDT) for MDS assessment completion in accordance with State and Federal regulations.
$48 - $53 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Regulatory Compliance: Ensure compliance with all federal, state, and local regulations, as well as accreditation standards set forth by organizations such as The Joint Commission (TJC) and the Centers for Medicare Medicaid Services (CMS.
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Pharmacy audits require using pharmaceutical knowledge to assess pharmacy operations and procedures and compliance with various regulations including the Medicare Part D Prescription Drug plan coverage.
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Managing Medicare Medical Review and Denials process in conjunction with Director of Rehabilitation, the facility, and therapy staff. This includes but is not limited to : Identifying and correcting safety hazards or notifying the facility or the Director of Rehabilitation so that safety hazards will be immediately remedied.
$53 - $60 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position will work with the Director, Business Development; Regional Vice President, Market Development; or Vice President, Sales and branch Director, Operations to develop and execute.
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Schedule and attend providers in-service and IPA’s meetings and track all visits and activitiesCoordinating with the Business Development Director to establish and sustain relationships with the agentsAssumes other responsibilities as required or requested by upper managementRequirements and Qualifications:Education: A Bachelor’s Degree in business, marketing or communications or a health or human services field, or a high school diploma with sufficient experience.
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Must have knowledge of current accredidation standards, Medicare, Medi-Cal, State and Federal regulations, demonstrated functional knowledge of HME as used in the hospice setting, a comprehensive knowledge of nursing practice, risk management as applicable to hospice setting for the population served including the special needs of the terminally ill, and patients of all ages.
$77 an hourPart-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Identifying and correcting safety hazards or notifying the facility or the Director of Rehabilitation so that safety hazards will be immediately remedied. Assessing, training, and issuing necessary ADL adaptive equipment and durable medical equipment for patients to facilitate independence in ADLs.
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Available to all discharge planners, physicians, other personnel and clients to 1) analyze eligibility for home care or hospice and provide general guidance in determining if a patient would benefit from home care or hospice services and/or 2) explain Medicare and Medicaid guidelines, insurance plan benefits, financing options, Pathways policies, etc.
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The Market Director also serves as the risk manager for the local market plan and, overall, is responsible for the clinical performance of the market, including HEDIS / Stars ratings, admissions per 1k, documentation and coding accuracy, medication therapy management (MTM) review rates, and more.
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Provide subject-matter knowledge on Medicare, Medicaid and private commercial coverage, coding and payment policy and other market access-related issues impacting Cytovale and its customers. The Director of Market Development is responsible for establishing the foundation for growth for Cytovale products and ensuring that market forces drive adoption of the company's tests.
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Its accommodations feature a beauty salon, barber shop, library, patio areas and Medicare certified beds. Under the direction and supervision of the Director of Nursing, the Charge Nurse is responsible for the comprehensive nursing care of assigned patients and for the supervision and training of nursing personnel who assist in the provision of care to the assigned patients.
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The test simply and clearly shows risk of sepsis using a biomechanical evaluation of white blood cells from a standard blood draw, generating results in less than 10 minutes. Engage Laboratory Outsourcing groups (e.g. Labcorp, Quest) to ensure Cytovale access to their partners and develop strategies to leverage these relationships for further growth.
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Risk Adjustment includes the following: Medicare Advantage, Affordable Care Act (ACA) and Medicaid. The primary purpose the Director, Risk Adjustment Compliance is to provide oversight and maintenance of a high-quality, effective, best practices risk adjustment compliance program to prevent and detect violations of law and other misconduct and to promote ethical practices and a commitment to compliance with applicable federal, state, and local laws, rules, regulations, and internal policies and procedures.
$188,500 - $243,870 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Supervisory or operations management experience, a strong understanding of skilled nursing standards of care, and federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules.
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medicare director jobs in Alameda, CA
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