- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... to communicate, measure outcomes and develop initiatives to improve Star Ratings + Plans and directs schedules Program...program management and other processes relative to the Medicare Stars Program + Leads and manages… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Registered Nurse (RN) Case Manager - Monday thru Friday, On Site Come work at our 4- star staffing facility! **The position is on site at the facility, and remote ... be considered.** Benefits of the Registered Nurse (RN) Case Manager : + Daily Pay Option! Your pay, when you...Get paid daily! + Competitive Salary! + Employee Referral Program + Comprehensive Benefits Package and 401k + Core… more
- CVS Health (Scottsdale, AZ)
- …do it all with heart, each and every day. **Position Summary** As the Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering ... will be expected to familiarize yourself with all the Medicare Audit Programs and become a subject-matter-expert on assigned...plans in compliance with CMS requirements and maintain positive STAR ratings. As part of this you will also… more
- Prime Healthcare (Weslaco, TX)
- …in the United States in the various areas we serve: + Centers For Medicare & Medicaid Services (CMS) Five- Star Quality Rated + LeapFrog Hospital Safety ... a row + Certified by The Joint Commission as an Advanced Primary Stroke Center + Five- Star Recipient for Hip Fracture Treatment for 6 years in a row + Recipient of a… more
- BAYADA Home Health Care (Orlando, FL)
- …requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA ... Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...401k with company match, direct deposit, and employee assistance program + To learn more about BAYADA Benefits, click… more
- Presbyterian Homes and Services (New Richmond, WI)
- …Presbyterian Homes & Services - The Deerfield is seeking a Full-Time Rehabilitation Program Manager to join its Rehab team. REPORTING STRUCTUREThe Rehabilitation ... Program Manager reports to the Regional Director...Corner, Emerald, Glenwood City, Cylon, Forest, Deer Park, Stanton, Star Prairie, Johannesburg, Horse Creek, Clear Lake, Arcola, Marine… more
- BAYADA Home Health Care (Orlando, FL)
- …Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and SLP's ... 401k with company match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member… more
- Virtua Health (Lumberton, NJ)
- …into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, ... ensuring that all staff members are performing according to policy and STAR standards. Payroll management including oversight of leaves, temp staffing requests… more
- Bluestone Physician Services (Orlando, FL)
- …overall savings per Medicare beneficiary. Position Overview: The Behavioral Health Care Manager / Dementia Case Manager (Part-time 24 hrs./week) is a core ... life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 12th year...Managers and other medical professionals. The Behavioral Health Care Manager is a patient-focused role, primarily working with a… more
- St. Luke's Health System (Meridian, ID)
- …for nursing excellence. In addition, we're the only Idaho hospital system to receive five- star Centers for Medicare and Medicaid Services (CMS) ratings and we've ... to our community. We are seeking a **Patient Care Manager ** for our **Meridian Emergency Department** . We strive...as: on-site massages, on-site counseling via our Employee Assistance Program , access to the Virgin Pulse Wellness tool, as… more
- Bluestone Physician Services (Sarasota, FL)
- …medicare -26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview : The Territory Manager ... life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 12th year...addition to fostering relationships with external stakeholders, the Territory Manager will work closely with internal stakeholders to coordinate… more
- Genesis Healthcare (Albuquerque, NM)
- …results to position the Market for Quality Measure success and improved Star Ratings *Identify MDS opportunities and partners with Nursing Home Administrators to ... Nurse or equivalent professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to… more
- HCA Healthcare (Aledo, TX)
- …care like family! Jump-start your career as a(an) Billing Specialist today with Lone Star Medical Group. **Benefits** Lone Star Medical Group, offers a total ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Elevance Health (Indianapolis, IN)
- …in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly desired. + Experience working ... within provider tools including Excel. + Evaluate pharmacy quality program data and work with stakeholders to identify, prioritize,...improve pharmacy quality by staying up to date on STAR and HEDIS measures. + Provider education to support… more
- Fallon Health (Springfield, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... delivery of items as part of the 'Oh Baby' program and work with Nurse Case Managers to coordinate...on panel Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes performing member… more
- Rochester Regional Health (Rochester, NY)
- …Living Center, which houses Wegman Family Cottages, has achieved and maintained a five- star rating from the Centers for Medicare and Medicaid Services (CMS) ... mentors, and coaches team members; fills in for the manager as needed; and identifies and leads process improvement...10% of nursing homes in the country attain this five- star rating. Conveniently located on the Unity Hospital Campus,… more
- LA Care Health Plan (Los Angeles, CA)
- …Information Financial Impact: Additional position required due to the impact that the Medicare Star program and Medi-Cal auto-assignment program ... them better understand the medical record requests. Speaks with the office staff/ manager /provider to clarify the medical record request as necessary. Supports the… more
- HCA Healthcare (Jourdanton, TX)
- …medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program , employee stock purchase program , and student loan repayment. ... developing a plan, coordinating necessary resources, setting project timelines, keeping Manager informed of progress, and completing project within established time… more
- Banner Health (Chandler, AZ)
- …to change lives, we want to hear from you. Banner Home Health is a **four- star home care agency** **with a track record for quality and excellence** **and** **is** ... and challenges), an in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist field… more