- Medical Mutual of Ohio (OH)
- …**We are looking for compassionate and experienced case managers to support Medicare patients. Ideal candidates will have a strong background in care coordination, ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision,… more
- Elevance Health (Mason, OH)
- ** Nurse Appeals - Medicare ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... to some shifts from Tuesday to Saturday and coverage on certain holidays. The ** Nurse Appeals - Medicare ** is responsible for investigating and processing and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits ... and collaborate closely with Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their… more
- Trinity Health (Davenport, IA)
- …in dealing with these resources is uncomplicated. **Education:** + Associates Degree in nursing + Registered Nurse in Iowa or Illinois required upon Hire. ... Join the MercyOne Family! We are looking to hire a Registered Nurse ! As a Registered Nurse at MercyOne, you will provide and direct safe, effective, and… more
- Tufts Medicine (Burlington, MA)
- …our Burlington Corporate Headquarters. **Job Overview** This position focuses on the Medicare Shared Savings Program (MSSP) and Medicare Advantage programs, ... strategic planning, clinical performance improvement skills, a deep understanding of Medicare programs, the ability to analyze data and create performance… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- Medicare Biller The CommuniCare Family of Companies currently owns/manages over 130 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and ... of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF… more
- BrightSpring Health Services (Louisville, KY)
- …facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and ... approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards. + Conduct… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview** :; Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care coordination for Medicare ... needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the scope… more
- PruittHealth (SC)
- …meeting places as needed. * Substantial sales experience. * Knowledge of Medicare /Medicaid and/or nursing community dynamics. * Demonstrate compliance with CMS ... they provide ongoing marketing support to our in-network skilled nursing facility staff, conduct facility and community marketing events,...6. Ability to learn and carry out Centers for Medicare & Medicaid Services rules and regulations. 7. Meet… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Medicare Wellness Registered Nurse will schedule and conduct Medicare Annual Wellness visits in Primary Care Offices. Provides professional ... nursing care to patients/families, and the community. This role...by the time of appointment. Preferred Qualifications: Experience with Medicare wellness visits and collaborating with a multi-disciplinary team.… more
- Aveanna Healthcare (Williamsport, PA)
- Nursing Manager - Registered Nurse ApplyRefer a FriendBack Job Details Requisition #: 202814 Location: Williamsport, PA 17701 Category: Nursing Salary: ... Position Details Join a Company That Puts People First! Nursing Manager - RN We are one of the...of practice. Maintain a professional demeanor consistent with registered nurse standards of practice. Adhere to ethical principles and… more
- Sanford Health (Detroit Lakes, MN)
- …dynamic internal medicine department with a focus on geriatric care in skilled nursing and assisted living facilities in the Detroit Lakes community. The position is ... NPs that will allow for support and training. **Job Summary** The Nurse Practitioner (NP) provides service to patients in designated care settings, including:… more
- Comfort Keepers of St. Cloud, MN (Monticello, MN)
- This is a Non- medicare company. Comfort Keepers is looking for another Registered Nurse to join our team. RN nursing team is responsible for completing ... days of vacation/year + Day shift + 40 hours per week Requirements + Registered Nurse in the State of Minnesota + Drivers License and Clean Driving Record +… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... CPT and CPT (II), and HCPCS coding systems required + Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications, required + Six or more… more
- Aveanna Healthcare (Pottstown, PA)
- Pediatric Licensed Practical Nurse (LPN) - Private Duty Nursing ApplyRefer a FriendBack Job Details Requisition #: 202171 Location: Pottstown, PA 19464 Category: ... a Company That Puts People First! Pediatric Licensed Practical Nurse - Private Duty Nursing We are...from diverse backgrounds to apply As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Beth Israel Lahey Health (Exeter, NH)
- …behavioral health and social services in the community. -Works closely with nurse case managers, pharmacists, community health workers, and other members of the ... care team throughout the continuum of care including acute hospital, skilled nursing facility, acute rehabilitation, and home care. The Social Worker will be… more
- Fallon Health (Worcester, MA)
- …integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of ... at initial and follow-up assessments with members and forward results to the Nurse Case Manager or PCP as indicated. Documents all activity per department guidelines… more
- Sutter Health (Novato, CA)
- …**Job Description** : **EDUCATION:** Graduate of an accredited school of nursing . **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California BLS-Basic ... NCH-Novato Community Hospital **Position Overview:** Supervises and oversees all nursing activities of patient care in an inpatient setting, ensuring… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Manager Patient Accounting-Patient Financial Services ( Medicare /Medicaid) Corporate-Full-Time Days** The Manager is responsible for overseeing ... hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate education. Mount Sinai advances… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate education. Mount Sinai advances… more