- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities… more
- UnitedHealth Group (Maryland Heights, MO)
- …potential. Realistic Job Preview video At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to ... millions of people for the better. Come build the health care system of tomorrow, making it more responsive,...our team in Maryland Heights, MO and have multiple Medicare Sales Agent openings available now. In this inbound… more
- BAYADA Home Health Care (Sterling, VA)
- …an experienced and compassionate Director to manage operations at our Falls Church, VA Medicare -certified Home Health office . The ideal candidate will have ... to ensure compliance with Medicare regulations and state/federal laws governing home health services. Manage all aspects of the agency's clinical and… more
- Activa Home Health (Boynton Beach, FL)
- Activa Home Health is a Medicare Certified home health agency accredited by ACHC. We serve patients from Broward County to Indian River County. We ... with operations and clinical teams to address data integrity issues. Verifies health insurance coverage and benefits for assigned payers such as; commercial,… more
- Home Health Advantage INC. (Chicago, IL)
- …Qualifications: *Valid state issued Registered Nurse License *A working knowledge of Medicare home health requirements *Strong clinical knowledge and ... Home Health Advantage is an established... Home Health Advantage is an established home ...Conducts review of records to ensure continuing home health care client's eligibility for covered… more
- Pinnacle (Fort Lauderdale, FL)
- …most -at home . Pinnacle Home Care, Florida's largest Medicare -certified home health provider, has been delivering high-quality, patient-centered ... related field (preferred) Minimum two years of multi-site sales management experience in Home Health Care Proven track record for recruitment, training, and… more
- Dependable Health Services (Las Vegas, NV)
- …degree in Nursing (preferred) Minimum 3 years of leadership experience in home health (required) Strong understanding of Medicare guidelines and home ... Branch Manager (RN) - Home Health Leadership with Purpose Location:...Ensure full compliance with federal, state, and agency regulations Review clinical documentation for accuracy, completeness, and timeliness Coordinate… more
- Pinnacle (Sanford, FL)
- …matters mostat home . Pinnacle Home Care, Florida's largest Medicare -certified home health provider, has been delivering high-quality, ... therapy program. Valid BLS certification. Minimum one year of PT experience ( home health experience preferred). Excellent communication, organizational, and time… more
- Concierge Home Care (Lake Mary, FL)
- …ER settings (required). One year of experience in skilled, geriatric home health care with proficiency in Medicare OASIS documentation (required). Why Choose ... Home Care, we believe in the power of home health care to change lives-for patients...ensure patients receive high-quality care as prescribed by physicians. Review clinical documentation to ensure compliance with Medicare… more
- HCA Healthcare (Coral Springs, FL)
- … health , public nursing or acute hospital nursing experience Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and ... providing patients with quality care during their recovery at home . We are Medicare certified. Our patients...encourage you to apply for our Home Health RN opening. Our team will promptly review… more
- Hope At Home Health Care (Southfield, MI)
- …TODAY (serious applicants only)! We currently have a position available for an experienced Home Health Care Registered Nurse! A RN with Mediport, PICC Line, ... patient homes and travels to/from patient homes. HOPE At Home Health Care is a full service...to helping people excel in the comfort of their home . We offer Medicare certified skilled services.… more
- Miami Homecare USA LLC (Hallandale, FL)
- Director of Nursing (RN) - Home Health (Part-Time / Growing to Full-Time) Location: Pembroke Park, FL Job Type: Part-Time (approx. 35 hrs/week), with potential ... clients and their families. As we expand into skilled home health services, we are seeking a...Participate in quality assurance and performance improvement (QAPI) initiatives Review and approve care plans and skilled documentation Collaborate… more
- HCA Healthcare (Irving, TX)
- …and personal growth, we encourage you to apply for our Home Health PRN Physical Therapist Assistant opening. We review all applications. Qualified candidates ... Do you have the PRN career opportunities as a(an) Home Health PRN Physical Therapist Assistant you...providing patients with quality care during their recovery at home . We are Medicare certified. Our patients… more
- The Overlook (Charlton, MA)
- …and paraprofessional Personnel. Maintains clinical skills and current working knowledge of home health regulations. Complies with accepted ethical conduct and ... Team Members through a variety of means such as home visits, conferences, record review , etc. Provides...Other responsibilities as assigned by the Executive Director of Home Health and Hospice Services. SUPERVISORY RESPONSIBILITIES… more
- Magellan Health, Inc. (San Diego, CA)
- …care plans for high and moderate stratified members in the Medicaid, Medicare , and Whole Health markets. Possesses clinical knowledge, understands best ... member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care...care plan to guide the member through their mental health care. Oversees the work of its assigned care… more
- Enhabit Home Health & Hospice (Kennesaw, GA)
- … and approval from the regional and executive service line clinical leadership. Medicare home health or hospice experience is preferred. Requirements ... meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home -based care, Enhabit is… more
- Brockton Home Health Care Agency LLC (East Taunton, MA)
- Brockton Home Health Care Agency, LLC Position: RegisteredNurse Reportsto: Case Manager/ClinicalManager JobSummary : Demonstrate proficient skills using Oasis to ... admit, transfer, re-certify, anddischarge home health patients in regards to physician orders. Coordinate andsupervise LPN' s and HHA's in the delivery of… more
- COPE Health Solutions (Los Angeles, CA)
- …The Nurse Practitioner or Physician Assistant will provide oversight to the Community Health Worker (CHW) team and evaluate and approve assessments completed by the ... in managed care plans. This includes closing any identified open care gaps, Health Risk Social Needs gaps and re-engaging members with primary care services and… more
- Pinnacle (Venice, FL)
- …most - at home . Pinnacle Home Care, Florida's largest Medicare -certified home health provider, has been delivering high-quality, patient-centered ... all evaluation data, treatments, and patient progress promptly. Supervise home health aides every 14 days when...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- Actalent (Boston, MA)
- Clinical Review Clinician Job Description As a Clinical Review Clinician specializing in appeals, you will be responsible for preparing case reviews for Medical ... criteria, and analyzing the basis for each appeal. You will ensure timely review , processing, and response to appeals in accordance with State, Federal, and NCQA… more
