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Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage. Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company.
$22 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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These requirements apply to ALL Medicare-certified hospice providers - public or private, secular or faith-based, for-profit or non-profit. However, early in its existence, VITAS found that, as a non-profit, it didn’t have access to the capital that it needed to care for a growing number of the terminally ill.
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Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective. Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more.
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Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis Record deposits and withdrawals in Resident Trust. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you.
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Accountable for adhering to the standards set by regulatory agencies such as but not limited to Joint Commission on Accreditation of Healthcare Organizations(JCAHO), Center for Medicare and Medicaid (CMS), Fire Marshall and Michigan Occupational Health and Safety (MIOSHA.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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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.
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This non-profit is a dropout prevention organization that provides reading and math mentoring programs for students on the Gig Harbor Peninsula and Key Peninsula. Lutheran Community Services Northwest, in Pierce and Kitsap County, focuses on services for seniors, including Caregiver Support, Home Care, Meals on Wheels, RSVP (Retired and Senior Volunteer Program), Senior Friends, and Senior Companion Program.
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The WellBe care model is a Physician Led, Advanced Practice Provider driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients.
$137,000 a yearFull-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years.
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Leading the concept and execution of content and design for the Medicare Advantage, D-SNP product including, but not limited to digital footprint, website, direct mail, newsletters, enrollment materials, e-mails, advisory committee artifacts, sales conversion materials, radio, video productions, public relations content, media campaigns, and general Alliance projects as needed.
$204,179.66 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan coordination for guests. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them.
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MultiCare is a not-for-profit health care organization with more than 20,000 team members, including employees, providers and volunteers. MultiCare Health System is seeking a per diem / prn nurse RN Pediatrics for a per diem / prn nursing job in Covington, Washington.
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The Grove City campus is the home for the HDR program and utilizes an Elekta Flexitron afterloader. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus.
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St Mary’s Health Care System is a regional not-for-profit Catholic teaching healthcare system inclusive of three hospitals, St Mary’s Medical Group, Graduate Medical Education, Home Health, Hospice Services, Senior Living, extensive outpatient services, auxiliary/volunteer services and clinical affiliations with the University of Georgia/Augusta University.
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not for profit medicare advantage jobs Title: developer in Greenland, Kansas
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