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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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Maintains and submits accurate data for hospital-based statistics and regulatory agencies such as UNOS/UNET, CMS, and Medicaid in order to ensure proper department financial management, compliance with all governmental reporting requirements, and proper quality outcomes monitoring.
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The Assistant General Counsel I supports and reports to the Chief Legal Officer and provides legal advice on a wide variety of matters related to Community's Medicare, Medicaid and Marketplace programs and operations including contracting, quality, utilization management, network management, privacy and security, litigation, fraud, waste and abuse, and contractual and regulatory compliance.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Certified Tumor Registrar (CTR) designation OR Oncology Data Specialist designation (ODS) REQUIRED.
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Understanding of Motivational Enhancement Therapy or motivational interviewing techniques; trauma, abuse and neglect, violence, Post-Traumatic Stress Disorder (PTSD), and related conditions; COPSD services; and Medicaid, Transitional Assistance for Needy Families (TANF), and Children’s Health Insurance (CHIP) eligibility.
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The Registered Nurse for CareBridge is a key member of the clinical team and is responsible for providing patient outreach, triage and disease education through telehealth modalities to patients who receive Home and Community Based Services (HCBS) services through state Medicaid programs.
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Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR.
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Knowledge and understanding of Medicaid Waiver programs. Camino Real Community Services is responsible for Early Childhood Intervention (ECI) services for children ages birth to 3 with developmental disabilities in the following counties: Atascosa, Bandera, Bee, Comal, Dimmit, Frio, Guadalupe, Kinney, La Salle, Live Oak, McMullen, Maverick, Medina, Real, Uvalde, Wilson, and Zavala Counties.
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Clinician will be either credentialed with United Healthcare, Cigna, BCBS, Alliance Medicaid, Partners Medicaid, Amerihealth, WellCare, Carolina Complete Health, and/or Healthy Blue or willing to pursue in order to provide care to our client population.
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Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women. Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance.
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Demonstrates proficiency in Microsoft Office applications required. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers. We offer care management programs for asthma, diabetes, and high-risk pregnancy.
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Works closely with the Quality Manager to ensure compliance with statutory mandates, regulatory requirements and accreditation standards of professional organizations such as JCAHO. (Statutory and regulatory requirements include but are not limited to the following: FDA, OSHA, EPA, EMTALA, Medicare and Medicaid provisions of the Social Security Act.
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Administrative Manager - Psych & Behavioral. Serves as a high level administrative liaison with others within and outside assigned areas regarding business and financial issues on purchasing, personnel, facilities and operations.
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The role requires day to day clerical/administrative work for the Center and its faculty/staff. Promotes and supports department goals; providing high quality office management and leadership; ensuring a productive work environment and continuous professional growth among office staff; hiring/terminating staff, labor distributions changes for faculty/staff and time/attendance.
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medicaid job Title: office manager administrative assistant Company: A Fox Physical Therapy P C in Houston, TX
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