- Fallon Health (Worcester, MA)
- …information, visit fallonhealth.org. **Brief Summary of Purpose:** Principle responsibility of the Medicare 5 star Program Manager is to collaborate with ... and transaction management in support of Fallon's 5 star rating goals. This includes engaging...prioritize and recommend improvements through data-driven analysis. The Medicare 5 star Program Manager will… more
- UT Health (Houston, TX)
- Texas Rising Star Mentor II/III-Children's Learning Institute **Location:** Texas Medical Center-Houston, Texas **Category:** Research McGovern Medical School at ... include: guiding, advising, and supporting ELPs in attaining or maintaining Texas Rising Star certification. The Texas Rising Star Mentor II will assist early… more
- UT Health (Houston, TX)
- …some coordination and logistics for assessments while reliably assessing and monitoring ELP program quality using the Texas Rising Star assessment instrument. A ... will be responsible for leading an assessment team, reviewing program data, collecting observation data, adhering to all assessment... Star Technical Scoring Manual and Texas Rising Star Engage User Guide (EUG). 5 . Maintains… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the successes of others. + Develops, enhances and implements workflows that support the 5 Star Quality Bonus Program . + Understands the importance of ... Product is responsible for developing and implementing Medicare and Federal Employee Program (FEP) products that result in achieving membership and margin targets… more
- Prime Healthcare (Weslaco, TX)
- …in the various areas we serve: + Centers For Medicare & Medicaid Services ( CMS ) Five- Star Quality Rated + LeapFrog Hospital Safety Grade Straight A's 2019-2023 ... Joint Commission as an Advanced Primary Stroke Center + Five- Star Recipient for Hip Fracture Treatment for 6 years...Maternity Care Excellence Award and ranked among the Top 5 % in the Nation for Maternity Care for 4… more
- State of Colorado (Walsenburg, CO)
- …of full-time professional experience in long-term care facility or department operations, CMS , CDPHE, or VA regulatory management or knowledge, contract ... Veterans Home at Walsenburg Opening Date 04/19/2024 Closing Date 5 /3/2024 5 :00 PM Mountain FLSA Determined by...year-for-year basis (ie long-term care facility or department operations, CMS , CDPHE, or VA regulatory management or… more
- LA Care Health Plan (Los Angeles, CA)
- …projects relating to quality excellence in Centers for Medicare and Medicaid Services ( CMS ) Five- Star Rating System and Marketplace Exchange Quality Rating ... Clinical Quality Program Manager II (CAHPS) Job Category: Clinical Department:...is responsible for strategizing quality improvement programs and ongoing management using a data-driven focus that sets priorities for… more
- The Actors Fund Home (Englewood, NJ)
- …center located in Englewood, NJ, and a recipient of a CMS Five Star Rating, seeks a Full-Time Program Coordinator to help develop, implement, manage and ... continuously improve a comprehensive activities program for our residents. Programs are designed to meet...The schedule for this position will be 9:00am - 5 :30pm, one evening weekly 10:30am - 7:00pm and working… more
- Universal Health Services (Reno, NV)
- …and vendors. Your responsibilities encompass three core components of the job: + Program Delivery + Bid and AEP Project Management + Product Development ... CMS bid process, commercial health plan offerings, case and/or utilization management , and/or a Medicaid managed care program that includes dual-eligibles. +… more
- The Cigna Group (Atlanta, GA)
- …within the Part D Medication Adherence area of the Cigna Medicare Stars department. The Star rating system was developed by the Centers for Medicare & Medicaid ... Services ( CMS ) to measure the quality of care delivered by...year of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting required. + Experience… more
- St. Luke's University Health Network (Allentown, PA)
- …St. Luke's Children's Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare's five- star ratings (the highest) for quality, ... to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or… more
- Catholic Health Initiatives (Chattanooga, TN)
- …the guarantee period. Compensation: Highly competitive; 50th percentile Chattanooga's ONLY 5 STAR rated hospital. CHI Memorial tops CMS list in the region. ... practice. Join our experienced group of Internal Medicine physicians at our "Five Star " rated hospital campus. A full lab and x-ray services are provided within… more
- Intermountain Health (Las Vegas, NV)
- …safety indicators, value-based purchasing, risk adjustments, mortality scoring, hospital acquired conditions, CMS 5 star , and external publicly reported ... with disabilities to perform the essential functions. + Knowledge of CMS Medicare, Medicaid, Managed Care and Commercial health plan billing, reimbursement… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... acute care hospital setting required. + Prefer minimum of 2- 5 years' experience in case management and/or...Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare's five- star ratings (the… more
- Corewell Health (Benton Harbor, MI)
- …Homecare addresses a critical need for affordable community-based healthcare. We maintain a high star rating per CMS for the quality of care provided. Nurses are ... IN THEIR HOME. About Corewell Health South - Lakeland Hospitals The health system comprises three hospitals, an outpatient surgery center, a regional cancer center,… more
- PeaceHealth (Springfield, OR)
- …Tech background for this role!** **Why PeaceHealth?** + **ACC Accredited Chest Pain Center** + ** CMS 5 Star Rating** + **LeapFrog "A" Safety Rating** + ... **Accredited Structural Heart Program ** + **ACC Certified Transcatheter Valve Center** + **Cutting...from an accredited School of Nursing required. + Minimum 5 years RN experience required in IR, Radiology, etc,… more
- Corewell Health (Niles, MI)
- …Homecare addresses a critical need for affordable community-based healthcare. We maintain a high star rating per CMS for the quality of care provided. Nurses are ... IN THEIR HOME. About Corewell Health South - Lakeland Hospitals The health system comprises three hospitals, an outpatient surgery center, a regional cancer center,… more
- PeaceHealth (Springfield, OR)
- …Tech background for this role!** **Why PeaceHealth?** + **ACC Accredited Chest Pain Center** + ** CMS 5 Star Rating** + **LeapFrog "A" Safety Rating** + ... **Accredited Structural Heart Program ** + **ACC Certified Transcatheter Valve Center** + **Cutting...hire OR, military education coupled with registration and minimum 5 years' experience in lieu of accredited school of… more
- PeaceHealth (Springfield, OR)
- …24/7 onsite intensivists! We are also a Chest Pain Center, we are Stroke Certified, have a 5 star CMS rating and an "A" rating from the Leap Frog Safety ... Retirement, and Paid Time Off + Tuition Assistance & Student Loan Repayment Program + PTO with no waiting period + Professional practice support + Collaborative… more
- Catholic Health Initiatives (Chattanooga, TN)
- …genetic information, or any other characteristic protected by law. Chattanooga's ONLY 5 STAR rated hospital. CHI Memorial tops CMS list in the region. CHI ... you and your family: Free Membership to our Care@Work program supporting any child care, pet care, or adult...control, fire safety, electric and chemical hazards identified, etc.). System issues are brought to management 's attention… more