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The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an “A” for patient safety.
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The Optum Health East region is seeking an experienced clinician to support our Medicare risk adjustment education efforts. Informs physicians and APCs around year-over-year changes to the Medicare risk adjustment to provide thought leadership and assists in carrying out recommended actions.
$286,104 - $397,743 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Company Overview:A distinguished Home Healthcare Agency based in New York with a coveted 5 Star Rating for excellence in Patient Care, as recognized by Medicare & Medicaid Services, who is committed to delivering top-tier services, specializing in skilled nursing, physical therapy, and pharmacy assistance - focusing on aiding seniors in maintaining their independence at home.
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Monitor documentation audits, Medicare compliance and patients approaching MMR cap. Monitor documentation audits, Medicare compliance and patients approaching MMR cap. The Physical Therapist Clinical Director is responsible for complete oversight of operations and administration of rehabilitative outpatient clinic providing Physical and Occupational Therapy.
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Activities may include Individualized Education Program (IEP) development, Medicaid billing, report writing, and treatment plan/therapy log development. Activities may include Individualized Education Program (IEP) development, Medicaid billing, report writing, and treatment plan/therapy log development.
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Our hospital has established extensive internal quality measurements that surpass the standards defined by the Centers for Medicare & Medicaid Services (CMS) and the Hospital Quality Alliance (HQA) National Hospital Quality Measures.
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In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. This position will utilize the essentials of an integrated utilization management and case management model that includes assessment, planning, implementation, care coordination, monitoring, and advocacy to meet the needs of medically complex Medicaid members.
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Individual Product Advisor is responsible for membership growth in strategic target areas, identifying eligible members and enrolling them in Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), and HARP as well as enrolling consumers in Off-Exchange and Medicare Advantage (MA) products including D-SNP ( Dual Special Needs Plan) as permitted under federal and state guidelines.
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Work is performed in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA), Westchester County Health Care Corporation Board of Directors, accrediting organizations and regulatory agencies.
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Captures the RUG score which reflects the care and services providedDemonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and MedicaidEnsures timely electronic submission of all Minimum Data Sets to the state data base.
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P lace outbound calls to customers, Medicare, Medicaid and Commercial insurance providers regarding audits. Education/Experience: High School Diploma or general education degree (GED); three to five years prior medical supply billing experience and/or 2-4 years prior experience as an AR Billing Representative II exceeding performance levels and expectations for that role.
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Stamford Hospital Awards: “A” Grade for safety from the Leapfrog GroupTop ratings from Medicaid/Medicare services for overall careAwarded Magnet Status by American Nurses Credentialing CenterAffiliation with Columbia University College of Physicians & Surgeons Stamford is the fastest growing city in CT. We are accessible to NY via car and train, with a non-stop train into Grand Central Terminal.
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Ability to be onsite most days and have an adaptive schedule to accommodate patientsMust pass hospital credentialing including all vaccines, drug & alcohol testing Experience with NY Medicaid Preferred.
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Legal Services of the Hudson Valley (LSHV) has an immediate opening in our White Plains, NY office for a full time, General Practice Staff Attorney to work on Elder Law and General Practice Matters including eviction and other housing-related matters; drafting and executing simple wills; powers of attorneys, and health care proxies; Medicaid eligibility and basic planning; managed long-term care denials, and other civil matters which may include consumer, family law and government benefits.
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medicare medicaid jobs Company: Enterprisemed in Armonk, NY
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