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Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. QUALIFICATIONS & EXPERIENCE REQUIREMENTSGraduate of an accredited school of nursing; RN Valid RN license in the state employedThree years of experience in a long term care environment preferredExperience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIESThe MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process.
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Three (3) years Population health management or managed care experience that has demonstrates ability to constructively challenge established ways of doing things to lead improvement and change, to include: i.
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Ideal candidates:Experience in a leadership role in hotels, hospitals, or multi-unit housing as a Housekeeping or Cleaning Supervisor with great care and attention to detail to ensure quality. Full-time associates are eligible to participate in a comprehensive benefit package, which includes medical/dental/vision plans, life insurance, ST/LT disability options, 401K options, tuition assistance, discounted room rates at Concord managed hotels, plus training & development and career advancement opportunities.
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Strong multi-tasking and prioritization skills Strong understanding of Medicaid, Medicare, Managed Care and long term care About Us A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH.
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Select Source International (SSI) is a distinguished staffing company with nearly 25 years of experience, renowned for delivering top-tier workforce solutions encompassing staffing, recruiting, and managed services.
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Patients receive nursing care, medical problems are managed, and rehabilitation is provided in our state-of-the-art center. Nurse Manager (RN) - Center for Rehabilitation FT Day Shift (8, 9, or 10-hour Shift Option) Wilmington, DE ChristianaCare Center for Rehabilitation at Wilmington Hospital seeks an experienced Nurse Manager (RN) to assume 24-hour accountability and responsibility for excellence in the clinical and operational practice of nursing and the delivery of patient care in the Center for Rehabilitation ANCC Magnet® designated unit/practice area within Christiana Care Health Services.
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Complies with Medicare and Joint Commission (JC) in documentation; works with Managed Care Organization and Workers Compensation Department. Coordinates with referring physicians staff and obtains DME script; Verifies DME benefits; Educates patient on DME benefits and patient responsibility; Collects monies as appropriate; Posts payment in Cerner; Scans DME paperwork into a file for reconciliation.
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MedUS Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Cleveland, OH. Shift: 3x12 hr days Start Date: ASAP Duration: 13 weeks Pay: $2066.35 / Week.
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Processes and understands managed care plans while obtaining document information from the insurance company as needed. Additional Information Taking care of our people We understand the importance of financial health and security, and because of that, we provide competitive compensation to all Associates – including bonus potential for every position in the store.
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MedUS Healthcare is seeking an experienced Cardiovascular Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Akron, OH. Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2106.69 / Week About MedUS Healthcare: MedUS Healthcare, formerly Axis Providers, is a Joint Commission certified staffing company that specializes in the recruitment, placement, and partnership of travel nurses and other healthcare professionals nationwide.
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Shows flexibility/adaptability in meeting environmental constraints and demands placed on services as is common with changing reimbursement and managed care targets f. Summary: Supports the patient care team by performing multifunctional activities such as direct patient care, under the direction of a Registered Nurse, Licensed Practical Nurse, and administrative/clerical support.
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Shows flexibility/adaptability in meeting environmental constraints and demands placed on services as is common with changing reimbursement and managed care targets. Supports the patient care team by performing multifunctional activities such as direct patient care, under the direction of a Registered Nurse, Licensed Practical Nurse, and administrative/clerical support.
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Experience with healthcare coordination in a managed care environment, homecare or community agency is preferred. Part Time (24 hours per week)M-F DaysOnsiteRN Care Coordinator for Gender Clinic in Adolescent MedicineSummary:The Care Coordination and Transition Management Nurse is responsible for the deliberate organization of patient care activities between two or more participants (including the patient and/or family) involved in a patient’s care to facilitate the appropriate delivery of health care services.
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Required Qualifications: + Active, Unrestricted RN license for OH + 4+ years of healthcare experience, including experience in a managed care setting + 2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role + 2+ years of experience in provider facing interactions, including provider education + 2+ years of experience with data analysis and/or quality chart reviews.
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Strong understanding of Medicaid, Medicare, Managed Care and long term care. A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH.
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managed care jobs in Akron, OH
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