- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.** For this position, Nurse ... diverse situations, clients and customers. **Minimum requirements:** Active unrestricted Registered Nurse (RN) license in state or territory of the United States.… more
- The Cigna Group (Bloomfield, CT)
- …the appropriate team. + Other duties as assigned. **Qualifications** : + Registered Nurse with 1-2 years related experience and/or training in Case Management + 1-2 ... years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- The Cigna Group (Bloomfield, CT)
- …goals, and service levels + Proficient knowledge of policies and procedures, Medicare , HIPPA and NCQA standards; + Professional demeanor and the ability to ... Required:** + Excellent interpersonal and communications skills with nursing staff, physicians, nurse practitioners and other health workers involved in the care of… more
- Signature Healthcare (Columbus, OH)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... Modern Healthcare's "Best Places to Work!" Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a… more
- Ciena Healthcare (Richmond, VA)
- Starting wage: $95,000+ based on experience Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a ... facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in four facilities...services, therapy, dietary, and activity staff. + Reviews MDS nurse completion of information from hospitals, consults, and outside… more
- Elderwood (Cheektowaga, NY)
- …experienced RN MDS Coordinator to join our clinical team! Are you a Registered Nurse (RN) with long-term care and Medicare experience? Do you consider yourself ... an expert in assessment and reimbursement methodology, have experience Patient Driven Payment Model (PDPM),...MDS/PPS departments. + Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute… more
- Elderwood (Buffalo, NY)
- …completion, coding, and submission requirements. + Demonstrated experience and background in Medicare Reimbursement including CMI and PDPM payment model. + ... per diem, remote position. MDS experience required. Float MDS Nurse Assessor - Position Overview: + The Remote MDS...reimbursement for each individual assessment. + Completes all Medicare Prospective Payment System (PPS) Minimum Data Set (MDS)… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Applies process ... for Quality Assurance (NCQA), accreditation standards and the Centers for Medicare & Medicaid Services (CMS) regulations for quality. Performs medical record… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …records of individuals in state health care facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs; + May review medical ... Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 240830-5613FP-001...care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation… more
- UCHealth (Colorado Springs, CO)
- …appropriate action. Requirements: + Credentials: Essential: * Physician Assistant or Nurse Practitioner * Basic Life Support + Other information: Minimum Required ... Eligible to provide reimbursable Physician services and maintain provider status with Medicare and Medicaid. Eligible to provide services with no sanctions or… more
- Hackensack Meridian Health (Wall, NJ)
- …a comprehensive understanding of the fundamental elements of Home Health Medicare conditions of participation, reimbursement requirements, and the ability ... Total Rewards package including comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future with a 401(k)… more
- UCHealth (Highlands Ranch, CO)
- …Surgical Clinic in Highlands Ranch, CO is looking for a Physician Assistant or Nurse Practitioner to join our team. Our ideal candidate will bring a positive and ... experience. PREFERRED: 2-3 years General Surgery Experience. REQUIRED: * Family Nurse Practitioner candidates must have full prescriptive authority to be considered… more
- Fairview Health Services (Edina, MN)
- …(DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). This position will serve Fairview Partners patients ... competitive benefits package including medical/dental, 401k/403b with employer match, tuition reimbursement , and PTO! For details, please visit our benefits page by… more
- UCHealth (Loveland, CO)
- …extraordinary possible. UCHealth has an excellent opportunity for a full-time Nurse Practitioner or Physician Assistant with our well-reputed Cardiac Critical Care ... and disability insurance with additional buy-up coverage options * Continuing education reimbursement ($3,500 per fiscal year) * Wellness benefits * 5-year incentive… more
- Ciena Healthcare (Hamilton, OH)
- …six months of employment) and paid holidays + Flexible scheduling + Tuition reimbursement and student loan forgiveness + Zero cost uniforms + Legacy,our new virtual ... guests under the direction and supervision of a registered nurse or a licensed practical nurse . Some...employment) and paid holidays + Flexible scheduling + Tuition reimbursement and student loan forgiveness + Free CNA/STNA certification… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides...in a manner consistent with LA Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit… more
- Aveanna (Springfield, MA)
- Private Duty Nurse RN - Day/Evening Shifts ApplyRefer a FriendBack Job Details Requisition #: 193110 Location: Springfield, MA 01101 Category: Nursing Salary: $54.00 ... Day Shifts (9:00am - 2/3:00pm) on Monday - Friday (M/T/W/T/F) Female Nurse Only Pediatric (G-tube): EarlyEvening Shifts (12:00am - 8/9:00pm) on Saturday, Thursday… more
- Ciena Healthcare (Deckerville, MI)
- Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse ? Are you organized, efficient, and able to ... funds, + Health insurance, + AFLAC. + Employee discounts + Tuition Reimbursement + SPOTLIGHT, our virtual community and rewards and recognitions program, exclusively… more
- UCHealth (Fort Morgan, CO)
- …Medical Group is ready to welcome a primary care Physician Assistant or Nurse Practitioner for UCHealth in Fort Morgan, Colorado. Located within a newly renovated ... insurance with additional buy-up coverage options * Tuition and continuing education reimbursement * Wellness benefits * 5-year incentive bonus * Full suite of… more
- Ciena Healthcare (Goshen, IN)
- **MDS NURSE ** **$10,000 SIGN-ON BONUS!** _Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse ? ... a difference in someone's life every day? As a nurse with The Laurels of Goshen, you will work...employment) and paid holidays + Flexible scheduling + Tuition reimbursement and student loan forgiveness + Zero cost uniforms… more