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Key Words: health care, insurance, health insurance, Medicaid, Medicare, health coach, community health advisor, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing, sales.
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As one of the nations largest not-for-profit Medicare Advantage plans, serving more than 200,000 members in California, SCAN Health Plan has been a mission-driven organization dedicated to keeping seniors healthy and independent for over 40 years.
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SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, Nevada and Texas.
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Interviewing and assessment techniques; vocational rehabilitation and/or related occupational fields, knowledge of word processing and eClinicalWorks electronic health records data entry; HIV disease and related chronic illness and disability issues; comprehensive understanding of public benefits programs and policies; qualified health plans, including, but not limited to Covered CA, Medi-Cal, Medicare, My Health LA, and Ryan White.
$25.6 - $28.43 an hourExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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A Medicare Sales Representative focuses on helping people who are eligible for Medicare find a plan that meets their needs and aids them with the enrollment process. What Does a Medicare Sales Representative Do.
$70,000 - $100,000 a yearFull-timeExpandUpdated 6 days ago - UpvoteDownvoteShare Job
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Health care product experience including one of the following health care programs: Medicaid/Medi-Cal, Covered California, or Medicare Special Needs Plan. Experience working cross-functionally with Care Management, Social Services, Health Education, and other social service or clinical teams.
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SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada.
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An active, independent California Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Clinical Psychologist Residence in California 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.
$68,000 - $100,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of CMS guidelines and Medicare Advantage Managed Care. 2+ years of related experience as a nurse practitioner, preferably with home-based visits, geriatrics, chronic disease management, and hospice and/or palliative care.
$125,400 - $200,600 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Coordinates all activities related to timely and accurate submission of the Inpatient Rehab Facility-Patient Assessment Instrument (IRF-PAI) including but not limited to documentation, recording data entry, data transmission and analysis of the required items, CMG assignment, identification of allowable co-morbities (with medical coder), IRF-PAI assessment schedule, target LOS and expected reimbursement and cost for all Medicare patients.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Comply with all regulatory and quality agency standards including: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Services (DHS), and accreditation bodies' standards such as the National Commission of Quality Assurance (NCQA) as it relates to care management activities.
$80,300 - $128,500 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry leading position.
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Responsibilities include the following activities: arrange post-discharge services, create and follow up on electric referrals using the Tenet Case Management system, review patient choice letters with patients/families for required signatures, provide follow up Important Message to Medicare patients prior to discharge, communicate with patients, families and other members of the care team.
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Our state of the art facility is approved and certified by both Medicare and the State of California as an ambulatory surgery center (ASC). Our state of the art facility is approved and certified by both Medicare and the State of California as an ambulatory surgery center (ASC.
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Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
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