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Effectively communicate and appropriately collaborate with the Market Access team to ensure strategic alignment and effective implementation of the clinical strategy for National and Regional Managed Care accounts, covering all books of business (e.g., Commercial, Managed Medicaid, Fee-for-Service, Medicare, PBMs, and Exchange Plans.
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Abt Associates seeks a mid-level professional in Data Analytics with a background in data used by the United States Department of Health & Human Services (HHS) Centers for Medicare & Medicaid (CMS), Social Security Administration (SSA), Centers for Disease Control (CDC), or other HHS agencies.
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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.
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The Intern, Provider Network Strategy is responsible for supporting the continued CCA participation in the Senior Care Options (SCO), One Care and Medicare Advantage Programs in Massachusetts as well as CCA’s expansion markets.
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All regulations related to MDS, Medicare PPS and managed care are monitored and supported to ensure. · Accurate completion of the MDS is coordinated in accordance with State, Federal and Medicare PPS guidelines.
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Coordinate required and ad hoc submissions to a wide vary of stakeholders, including but not limited to, the Executive Office of Health and Human Services, Massachusetts Department of Insurance, Center for Medicaid and Medicare Services, Massachusetts Association of Health Plans, the Massachusetts Center for Health Information and Analysis.
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Adheres to regulatory requirements, e.g., DPH, TJC, DMH, Medicare, etc. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of nursing care and is directly reports to a designated nurse manager and/or clinical manager / off shift manager.
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The Clinical Finance Office seeks a Dental Financial Coordinator to oversee the workflow of dental clinical finances related to state Medicaid/Medicare programs, including MassHealth and other identified programs administered by Dentaquest and Skygen/Scion.
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General knowledge of The Joint Commission (TJC), the Department of Public Health (DPH), Department of Mental Health (DMH) and Centers for Medicare and Medicaid Services (CMS) rules, regulations, and standards.
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Deep Medicaid experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC.
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Travel OR RN - Operating Room RN, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. OR Circulate, Scrub Nurse Tier2. Focus Staff is seeking a traveling OR RN to work as an Operating room nurse (or perioperative nurse) to assist surgeons during operations and keep the operating room sterile at all times.
$2,328 a monthFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Under general supervision of the Senior Clinical Director, Medical Director, and Nurse Manager, the Home Base ICP Nurse will ensure that Home Base patients are seen in a timely manner by the appropriate clinician(s) within the Home Base Program, and that appropriate communication and coordination of care is maintained with referring physicians inside of MGH and outside in the community.
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The Oncology Nurse Navigator (ONN) uses their oncology-specific clinical knowledge to offer individualized guidance to patients, families and caregivers to foster independence during their complex cancer journey.
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MA State Dept. of Education School Nurse License (All Levels). The School Nurse provides skilled nursing care and management of the special needs of students as well as medication administration.
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Supplemental Health Care is seeking a travel nurse RN Dialysis for a travel nursing job in Boston, Massachusetts. We are also thrilled to recognize our very own SLP, Dr. Kelly Byrd as the American Staffing Association 2024 and Health Care Sector All-Star. Were honored to connect Dr. Byrd to employment, share her incredible story, and support her family literacy nonprofit.
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medicare job Title: visiting nurse association Company: Visiting Nurse Association Of Central Jersey in Boston, MA
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