- Medical Mutual of Ohio (OH)
- … Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... programs as needed. . Performs other duties as assigned. ** Medicare Pharmacy Coordinator II** Working under general...or PBM operations, which includes exposure to Centers for Medicare & Medicaid Services (CMS) guidelines, preferably… more
- CVS Health (Boston, MA)
- …convenient and affordable. **Job Description Summary** The primary responsibility of the Medicare Part B Operations Coordinator is to support activities related ... Medicare Part B end-to-end claims processing. The Coordinator will assist in ensuring CVS compliance to Centers...will assist in ensuring CVS compliance to Centers for Medicare and Medicaid (CMS) requirements, resulting in… more
- Fairview Health Services (Edina, MN)
- …Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). This position will serve Fairview Partners ... Fairview has an immediate opening for an RN Care Coordinator to join Fairview Partners Care Coordination team. Fairview...Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines +… more
- Fairview Health Services (Princeton, MN)
- …Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). **Job Expectations:** Assessment + Conducts ... has an immediate opening for a Social Worker Care Coordinator to support the M Health Fairview Princeton Clinic....Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines +… more
- Fairview Health Services (Princeton, MN)
- …Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). **Job Expectations:** Assessment + Conducts ... Fairview has an immediate opening for an RN Care Coordinator to join the Fairview Partners Care Coordination team...Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines +… more
- Elderwood (Wheatfield, NY)
- …for each individual assessment. + Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking ... $87,750 / year Overview Sign on bonus for MDS Coordinator $10,000 for full-time (paid over 12 months) What...Case Mix Index (CMI) preferred + Experience with state Medicaid program, Medicare /PPS program, Managed Care programs,… more
- Spokane County (Spokane, WA)
- …System for Award Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid , and all Federal healthcare programs. + Must successfully pass ... Integrated Care Coordinator Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4723613) Apply Integrated Care Coordinator Salary… more
- Fresenius Medical Center (Van Nuys, CA)
- …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
- City of New York (New York, NY)
- …to present regarding Medicaid , Medicaid Excess Income, and the Medicare Savings program. The Community Liaison Coordinator will: - Conduct monthly ... The Eligibility Information Services Unit is responsible for providing information to Medicaid providers on Medicaid eligibility requirements that are mandated… more
- Humana (Richmond, IN)
- …home diversion or long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a geriatric ... Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …independent judgment to perform. Examples of Work Ensures client demographical information, Medicaid , Medicare , private insurance and client fees are accurately ... Administrative Coordinator 1, 2 or 3 (Fiscal Services) Print...information to determine the clients annual liability due. Verify Medicaid , Medicare and private insurance for clients… more
- University of Rochester (Rochester, NY)
- …correctly in the system. + Examples of reports: + 2 nd insurance level report + Medicare and Medicaid credit balance report + Over $10,000 report + Claim Edits ... variances and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer… more
- Humana (Miramar, FL)
- …of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare / Medicaid criteria and Health Plan policies to ensure the referral ... us put health first** Job Description Summary The Pre-Service Coordinator is responsible for all aspects of referral management...experience with Word, Outlook, and Excel + Knowledge of Medicare / Medicaid & commercial insurance + Must be… more
- Humana (Linton, IN)
- …funding sources to meet their needs. + Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director/Geriatrician/Care Coordinator as ... and help us put health first** The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs...or long-term care case management experience + Experience with Medicare & Medicaid recipients + Experience with… more
- New York State Civil Service (New York, NY)
- …utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a ... Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York State Psychiatric Institute, P25685...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
- Hackensack Meridian Health (Eatontown, NJ)
- …assisting with new vendor contracting, and re-credentialing as needed with PBMs, Medicare , Medicaid , and other payers/entities. **Responsibilities** A day in the ... re-credentialing as needed. + Works closely with site leaders to ensure that Medicare / Medicaid agreements are up-to-date and assists with preparation for site… more
- Skyline Nursing Center (Dallas, TX)
- …to the responsible staff, resident, and/or responsible party. * Attends weekly Medicare , Medicaid and Managed Care meetings as required. * Corrects ... schedule a face to face interview ### The Mds Coordinator will be responsible for timely and accurate completion...assists, and instructs staff in the RAI Process, PPS Medicare , Medicaid (Case Mix as required) and… more
- Preferred Home Care of New York (Brooklyn, NY)
- …Office who understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance, and is committed to excellence in ... Home Care Intake Coordinator Summary **Title:** Home Care Intake Coordinator...+ Send referral to MLTC for potential enrollment or Medicaid assistance + Send referral to appropriate CHHA for… more
- Fresenius Medical Center (Gurnee, IL)
- …of and experience with Employer Group Health Plans (EGHP), COBRA, Medicare , Medicaid , Medigaps, Individual/State Risk Pools, and Veteran's Administration ... direction, support and guidance as appropriate. Assists the Insurance Coordinator Manager with the execution of the strategies and...of Coordination of Benefit period and ensures that the Medicare applications are processed 90 days prior to the… more
- National Health Care Associates (Newtown, CT)
- …federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs ... Stone Bridge Center for Health & Rehabilitation! **-** **MDS Coordinator (LPN/RN)** **What You'll Do:** As an MDS ...Coordinator (LPN/RN)** **What You'll Do:** As an MDS Coordinator / Nurse Assessment Coordinator , you will… more