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Knowledge of terminally ill patients and their families along with understanding of hospice concept; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, and human resource) management principles.
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Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
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Perform all OASIS time point assessments and discharge planning process per Medicare Criteria, policy and procedure. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home.
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Perform complex Medicare cost report audits, serving as an in-charge auditor assisting other auditors assigned to the audit. Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement.
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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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Shows working knowledge of managed care and Medicare health plans and reimbursement related to post-acute services within the continuum of care. Knowledge of Utilization Review, Medicare Requirements processes as well as State and Federal regulations pertaining to Utilization Review and Discharge Planning.
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The Pharmacist ensures patient care is maintained through compliance with the department's quality improvement plan, and the Joint Commission/Center for Medicare/Medicaid standards for pharmaceutical services.
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Knowledge of Workers’ Compensation, Medicare and/or clinical standards of practice. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.
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Our Medicare/Medicaid long-term care programs serve the needs of older adults and adults with disabilities. Certified Nursing Assistant/CNA, Part Time, Milwaukee, WI. Possibility of becoming a Med Passer.
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Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems. As a Landmark Health Provider, now a part of the Optum family, you visit your panel of patients in the comfort of their own homes.
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Maintains knowledge of the following and the associated reference material; Medicare, Medicaid and third party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and current accepted insurance plans.
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In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country ( as measured by the overall savings per Medicare beneficiary. In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country ( as measured by the overall savings per Medicare beneficiary.
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Home Health RN Contract Details: - $1,980 - $2,151 per week - 13-week contract - SHC Home Health Nurses are paid by the hour, not by the visit - Nurse will have a designated territory of coverage - Average weekly expectation is 30 units of productivity - Home Health contracts with SHC require previous experience with OASIS/Medicare Certified Visits - Estimated weekly payment may include both taxable wages and tax-free reimbursements for meals, housing, and incidentals.
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Completes MSP questionnaires with Medicare patients. Encourages patients to sign up for MyChart and the Froedtert & MCW App to help manage their healthcare electronically and steps them through the process to get activated on these online tools.
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Must be fully licensed by the State Board to provide therapy independently and without supervision (e.g., LPC, LCSW, LMFT, LMHC, LCPC, LCSW-C, LISW, or LP). Thoughtful client matching and dedicated coaches to grow your practice: We help you get paired with individuals who are ideal clinical matches so that you can control and personalize your caseload, and a dedicated coach to help you help your clients, no matter what your specialty, from pediatric to geriatric mental health, trauma, anxiety or addiction, we help you help others.
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medicare job in Milwaukee, WI
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