- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …(MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS). + Minimum 2 years professional experience with Medicare Part A and B, and the ... Premium Assistance - Coordinator 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5134245) Premium...MAGI and NON-MAGI related policies and procedures. + Minimum 2 years professional experience with the Medicaid … more
- Humana (Clermont, 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,...waivers (HCBS dual roles only) + Prior experience with Medicare & Medicaid recipients + Experience working… more
- Fresenius Medical Center (Woods Cross, UT)
- …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
- BAYADA Home Health Care (Pennsauken, NJ)
- …our clients. + Perform an initial screening/verification of benefits according to Medicare , Medicaid , and third-party payor guidelines, coordinate equipment with ... screening to determine suitability for admission to Hospice care according to Medicare , Medicaid , and third-party payer guidelines. + Maintain discretion, as… more
- Elderwood (Amherst, NY)
- …of experience within the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care ... Salary Pay: $18.50 - $23.07 / Hour Overview Managed Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator … more
- Penn Medicine (Plainsboro, NJ)
- …organization to maintain compliance with standards and regulations for the Center for Medicaid and Medicare Services, NJ Department of Health, The Joint ... Are you living your life's work? The Stroke Program Coordinator is a registered nurse, responsible for the coordination...- NJ (Required) + Stroke Certified Registered Nurse within 2 years of starting in the position Education or… more
- CVS Health (Cumberland, RI)
- …a set schedule that requires regular in office attendance. **Preferred Qualifications:** + Medicare / Medicaid experience on the Provider side + Adept at problem ... with heart, each and every day. **Position Summary** The Payer Enrollment Lead Coordinator is responsible for ensuring the timely and accurate processing of payer… more
- Nuvance Health (Danbury, CT)
- …standards to assure compliance with all third party payers including Commercial, Medicare and Medicaid programs. Credentials and re-credentials all WCHN ... in federal or other accreditation agency requirements as appropriate. 2 . Ensures that organization is in compliance with all...Health Services and regulatory requirements for the Centers for Medicare & Medicaid services and state requirements.… more
- YesCare Corp (Goshen, NY)
- …+ Strong knowledge of Coordination of Benefit (COB) provisions in commercial, Medicaid , or Medicare environments. + Proficient understanding of ICD-9, HCPCS, ... pay is $25.00 to $27.00/HR based on experience** **Key Responsibilities** + ** Medicaid Eligibility & Coverage Coordination:** + Submit inmate applications to … more
- Actalent (Leonia, NJ)
- …preferred Additional Skills & Qualifications + Prior insurance verification experience ( Medicare , Medicaid , private insurance) + Bachelor's degree preferred; ... open to associate's degree + Strong multitasking skills + Experience with Medicare and Medicaid Work Environment The work environment is fast-paced,… more
- Diversicare Healthcare Services & Diversicare Ther (Bessemer, AL)
- …entities per company guidelines and State and Federal regulations. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely ... Process under the direction of an RN or DNS 2 . Work in Collaboration with the interdisciplinary team to...Activities. 19. Continues to update knowledge base related to Medicare , Managed Care, Medicaid , RAI Process and… more
- University of Colorado (Aurora, CO)
- …medical Referral and Authorization processes. + Strong knowledge of basic insurance: Medicare , Medicaid , Private Insurance companies, and self-pay procedures. + ... **Administrative Education Coordinator (Part-time, 0.6 FTE)** **Description** **University of Colorado Anschutz Medical Campus** **Department:** **Job Title:**… more
- CVS Health (Harrisburg, PA)
- …impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you will collaborate ... our Special Needs Plan (SNP) care team, the Care Coordinator (CC) is responsible for coordinating care for our...Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. + Familiarity… more
- Mindoula Health (VA)
- …and social issues. + Knowledge of benefits including, but not limited to, SSDI, SSI, Medicaid , Medicare , LTC Medicaid , LTC, STD, LTD, Food Stamps, and ... The Readmissions Reduction Hospital Coordinator is responsible for the oversight, coordination, and...Functions is split into (1) Program Coordination-specific functions and ( 2 ) Case Manager-specific functions. Location This is a hybrid… more
- Aveanna Healthcare (Alameda, CA)
- …visiting our career page at:| Aveanna Healthcare Careers As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... Care Experience Coordinator - Staffing Coordinator ApplyRefer a...Office Suite and comfort with EMR systems. + Minimum 2 years of experience in staffing, customer service, or… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …+ Demonstrates an understanding of MDS requirements related to varied payers including Medicare , Managed Care and Medicaid + Ensures timely electronic submission ... MDS Coordinator RN The Glengariff Healthcare Center is looking...active license in state of practice. + Minimum two ( 2 ) years of clinical experience in a long term… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …+ Demonstrates an understanding of MDS requirements related to varied payers including Medicare , Managed Care and Medicaid + Ensures timely electronic submission ... MDS Coordinator Manchester Center for Rehabilitation and Healing is...active license in state of practice. + Minimum two ( 2 ) years of clinical experience in a health care… more
- Alameda Health System (Alameda, CA)
- …7. Assigns, assists, and instructs all staff in the RAI Process, Case-Mix, PPS Medicare , Medicaid , and the clinical computer system in relation to these ... AHD Minimum Data Set (MDS) Coordinator - PB + Alameda, CA + Park...outlined in the care plan and supported by documentation. 2 . Facilitates accurate determination of the Assessment Reference Date;… more
- Southwest Nursing Center (Fort Worth, TX)
- …government agencies. * Assigns, assists, and instructs staff in the RAI Process, PPS Medicare , Medicaid (Case Mix as required) and clinical computer system in ... + PTO + 401K Your Job Summary The MDS Coordinator will be responsible for timely and accurate completion...Facility preferred. * Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as… more
- Integra Partners (Troy, MI)
- …Microsoft Excel (eg, pivot tables, formulas, data validation). + Familiarity with Medicare , Medicaid , and DMEPOS authorization and appeals processes. + Working ... The Utilization Management (UM) Coordinator Supervisor oversees the day-to-day operations and performance...healthcare experience required; bachelor's degree preferred. + minimum of 2 years of experience in Utilization Management (UM), managed… more
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