- Clever Care Health Plan (Arcadia, CA)
- …to OC/SD/IE occasionally. Functions & Job Responsibilities Sell Clever Care's Medicare products. Meet/exceed individual sales goals. Meet compliance requirements ... events, sponsorship activities, and key community events. Maintain knowledge of compliance regulatory procedures and Medicare Marketing Guidelines to utilize… more
- Aveanna Healthcare (Brookfield, WI)
- …base salary and $10,000 Sign On Bonus ** Position Overview The RN Clinical Manager works under the direction and guidance of the Branch Administrator to provide ... orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered according to… more
- PharmaCord (Cincinnati, OH)
- …ability to think critically and issue resolution. Knowledge of healthcare compliance regulations, including HIPAA and Medicare /Medicaid guidelines. Bi-lingual ... When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference...are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient… more
- Aveanna Healthcare (Denver, CO)
- …affecting nursing staff, including hiring and termination as appropriate Maintain compliance in accordance with company policies and procedures, laws and ... leaves of absence, compensation, and training. ?? As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- RELI GROUP INC (Baltimore, MD)
- …tasks, ensuring alignment with CMS risk management priorities, enterprise frameworks, and compliance requirements. The Program Manager will serve as the primary ... Summary: RELI Group is seeking a highly skilled Program Manager to lead the execution of the Information Security...Privacy Support Services (MSSPSS) contract for the Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information… more
- Aveanna Healthcare (Fort Myers, FL)
- …This position has a 10% bonus incentive plan* Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator ... orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered according to… more
- HealthCare Support (Portland, OR)
- RN Field Case Manager HealthCare Support is actively seeking a RN Field Case Manager to fill an opening in Portland, Oregon . Daily Responsibilities for RN Field ... Case Manager : Ensure accurate and complete documentation. Communicate and collaborate...activities Assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits… more
- Executive Care (Leesburg, VA)
- …Flexible Scheduling 401(k) Bonus based on performance Position Summary: As the Office Manager of GENISCi operating as Executive Home Care, you will be the central ... role includes ensuring business operations run smoothly, maintaining regulatory compliance , and providing administrative support to both clinical and non-clinical… more
- SR International, Inc. (Phoenix, AZ)
- SOAZ - Posting ID # 5044 - Nursing Home Manager /Administrator (Onsite) Important Note: W2 ONLY ROLE This position is for candidates who live in Arizona only 100% ... Agency Skills Assessment Packet Job Summary: Seeking a Nursing Home Manager to perform planning, directing subordinates, and interpreting policy. Education… more
- Aveanna Healthcare (La Crosse, WI)
- Participates in a 10% Incentive Bonus Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to ... orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered according to… more
- Aveanna Healthcare (Cedar Rapids, IA)
- $15,000 Sign On Bonus! Position Overview The Home Health RN Assistant Clinical Manager , will evaluate nursing activities to ensure patient care, staff relations, ... individual will serve as a backup to the Clinical Manager and will manage a caseload as needed for...to agency policy and procedures and state/federal regulation Ensures compliance with regulations and is available for federal and… more
- Boost Home Health (Frisco, TX)
- …meets all regulatory and third-party payer requirements; complete audits and billing in compliance with Medicare regulations. Supervise team members in line with ... in the comfort of their own homes. The Clinical Manager is a Registered Nurse (RN) licensed in Texas...candidate will possess knowledge of OASIS, PDGM, QAPI functions, Medicare Conditions of Participation, and state regulations Strong computer… more
- Boost Home Health (Brookline, MA)
- …to lead in home healthcare? Boost Home Healthcare is seeking a Clinical Manager to oversee and coordinate high-quality care for homebound patients. You'll supervise ... clinical operations, ensure compliance with care plans, and guide an exceptional team...years of experience supervising clinicians Proficient in OASIS, EMR, Medicare CoPs, and QAPI Strong communication, leadership, and organizational… more
- Boost Home Health (Harrisburg, PA)
- …environment for our team. We're looking for an energetic and experienced Office Manager who thrives in a fast-paced setting, enjoys leading others, and takes pride ... and obtain necessary authorizations to ensure smooth reimbursement processes. Support Compliance : Maintain accurate records and stay on top of ever-changing … more
- Home Care Evolution (Vienna, VA)
- …patient care, assisting with quality assurance activities, and ensuring compliance with regulatory and agency standards. Key Responsibilities: Coordinate skilled ... Monitor patient progress and promptly report clinical changes to the RN Case Manager or Director of Nursing. Support and participate in Quality Assurance (QA)… more
- Accessia Health (Midlothian, VA)
- …payer coverage restrictions while maintaining high quality customer service standards in compliance with federal and state regulations Maintain a repository of payer ... management. In-depth knowledge of private and public health insurance plans ( Medicare , Medicaid, COBRA, Marketplace) and related terminology. Ability to obtain… more
- Knox Community Hospital (Mount Vernon, OH)
- …System ( MIPS ) and alternative payment models offered by Centers for Medicare and Medicaid Services (CMS) and patient centered medical home models. Ability to ... Microsoft Applications Hospital Information Systems Computerized Documentation Systems (CDS) Compliance Manuals/Resources PRIMARY JOB RESPONSIBILITIES Perform concurrent and retrospective… more
- GALEN MEDICAL GROUP PC (Chattanooga, TN)
- …The AWV Navigator will work under the direction of the Population Health Manager to satisfy the EMR pre-population of upcoming Annual Wellness Visits on all ... the status of quality measures and other preventative services by pre-populating Medicare Annual Wellness Visits. Contact patients prior to their Annual Wellness… more
- Sprenger Wellspring Silver Maple (Lorain, OH)
- …discharge. Utilizing physician's orders and professional skills, the RN functions as a case manager and develops and implements a Home Health plan of care that meets ... each patient's specific needs and is in compliance with State and Federal Home Health regulations, reimbursement guidelines, as well as Wellspring Home Health… more
- Medical Mutual of Ohio (OH)
- …responsible for leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program, which supports both Medicare Advantage ... **Responsibilities:** + Manages the implementation and operation of the Medical Mutual Medicare Compliance Program. + Serves as Medical Mutual's Medicare … more
