- Wealthy Group of Companies LLC (Champaign, IL)
- … documentation to ensure compliance with federal and state regulations. The Coordinator ensures that residents receiving Medicare services qualify for coverage, ... preferred. Regulatory Knowledge : Strong understanding of RAI processes, Medicare / Medicaid regulations, and PPS (Prospective Payment System) requirements.… more
- HC&N Healthcare Solutions (Maplewood, NJ)
- …Demonstrates an understanding of MDS requirements related to varied payers including Medicare , Managed Care and Medicaid Facilitates the Care Management Process ... MDS Coordinator RN A skilled nursing facility is looking...Qualifications: Registered Nurse with current active license Minimum two ( 2 ) years of clinical experience in a health care… more
- Solaris HealthCare Osceola (Kissimmee, FL)
- …agencies Assigns, assists, and instructs all staff in the RAI Process, PPS Medicare , Medicaid and clinical computer system in relation to these processes ... in a Skilled Nursing Facility preferred. Excellent knowledge of the Federal Medicare PPS process, and Medicaid reimbursement, as required. Knowledge of… more
- Life Care Companies, LLC (Newark, DE)
- …an extraordinary life! Millcroft Living is recruiting a hospitality focused Admissions Coordinator to join our Health Care Team! This role provides full-scope, hands ... admission related paperwork with the resident and or/responsible party including Medicare Part A coverage and non-coverage procedures. Maintains all non-medical… more
- Bluestone Physician Services (Minneapolis, MN)
- …senior population managing Department of Human Services (DHS) and Center for Medicare / Medicaid Services (CMS) required activities for Minnesota Senior Health ... Salary Range: $65,000 - $75,000 Responsibilities: As a Care Coordinator , you will manage member caseloads within your assigned...Eight (8) paid holidays for office closures plus two ( 2 ) floating holidays Three weeks (15 Days) Paid Time… more
- Aztec Healthcare (Aztec, NM)
- …a Skilled Nursing Facility preferred. *Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. *Thorough ... Your Job We are looking for an experienced MDS Coordinator who can provide timely and accurate completion of both the RAI process and care management process from… more
- Human Touch Home Health (Falls Church, VA)
- … years of home health intake experience Solid knowledge of Medicare / Medicaid guidelines, insurance verifications, and authorizations Excellent communication and ... Position Summary: We are currently seeking a friendly, detail-oriented, and experienced Intake Coordinator to join our in-office team in Falls Church, VA. This vital… more
- Stamford Health (Stamford, CT)
- …Report has recognized Stamford Hospital as a High-Performing Hospital. The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a ... Supervise unit activities when assigned to charge or clinical coordinator role. Act as preceptor to new staff and/or...Qualifications 1) Graduate of an accredited School of Nursing. 2 ) Valid license as Registered Nurse in Connecticut. 3)… more
- HealthCare Partners (Garden City, NY)
- …and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 190+ skilled professionals ... management team coordinate patient care Equip and train prior authorization coordinator with needed resources Ability to multitask between computer and multi-line… more
- Beth Israel Lahey Health (Needham, MA)
- …Points of Pride *Multiple five-out-five-star ratings from the federal Centers for Medicare and Medicaid Services in its annual quality and safety ... with Target: Stroke Honor Roll Elite and Target: Type 2 Diabetes Honor Roll. The awards recognize BID Needham...The CMO will serve as the Patient Care Assessment Coordinator of the Hospital, provides direction/support to Director of… more
- Healogics (La Grange, KY)
- …accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential ... that would benefit through our out-patient clinic partnerships The Clinical Coordinator (CC)/Clinical Nurse Manager (CNM) is responsible for the coordination of… more
- Healogics (Edinburg, TX)
- …accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential ... that would benefit through our out-patient clinic partnerships The Clinical Coordinator (CC)/Clinical Nurse Manager (CNM) is responsible for the coordination of… more
- Northern Illinois Hospice (Rockford, IL)
- …unit for which she/he has responsibility. Maintains current knowledge of Medicare / Medicaid benefits, private insurance, supportive care, continuous care and ... Hospice's protocol when applicable. Informs the Clinical Care Director, Patient Care Coordinator or designee of the patient's disease progression and all other… more
- Valor Global (Houston, TX)
- …be part of a mission-driven team focused on improving access to care for Medicare Advantage and Medicaid members. This remote position centers around making ... Experience and skillset: A High School Diploma or equivalent is preferred OR 2 + years general work experience required Previous outbound call center or high-volume… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Transplant Coordinator RN 2 is responsible for coordination of the evaluation and ... Organ Sharing (UNOS)/Organ Procurement and Transplantation Network (OPTN), the Centers for Medicare and Medicaid Services (CMS) Condition of Participation (CoP)… more
- Humana (Goshen, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2 ) who assesses and evaluates member's ... Committed? If so, apply today! **Position Responsibilities:** The Care Coordinator 2 employs a variety of strategies,...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working… more
- Fresenius Medical Center (Baltimore, MD)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- Dartmouth Health (Lebanon, NH)
- …or counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator ... choices of insurance coverage to best meet their individual needs, ie, COBRA, Medicare / Medicaid eligibility, Medicare Supplemental Plans, and Medicare … more
- University of Rochester (Rochester, NY)
- …correctly in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim ... at RTP are required. Remote location must be within 2 hours of RTP and within New York State....trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and… more
- Stony Brook University (Stony Brook, NY)
- Admissions Coordinator **Position Summary:** The Admissions Department has the challenging responsibility of guiding families through the emotionally difficult ... process of nursing home placement. The Admissions Coordinator is the first contact the public has with...the staff. + Obtain insurance pre-authorization and track previous Medicare usage. + Identify, coordinate and schedule Dementia Screens.… more
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