- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... significant others. Minimum Job QualificationsLicensure or other certifications: Registered Nurse in Georgia; Current BLS certificationEducational Requirements: Associates DegreeMinimum… more
- ICONMA (Indianapolis, IN)
- …High School diploma or GED required. Must meet Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification requirements within ... assigned patients under the direct supervision of a licensed nurse . Responsible for accurate documentation of information related to...the required state or CMS timeline. All appropriate state licensure, education, and training… more
- Carle (Urbana, IL)
- …effectively and with others. Essential Functions: + Ensures understanding of CMS Medicare Annual Wellness Visit requirements/visit workflows + Provides ... as defined by the Illinois Board of Nursing. Main focus of the Medicare Wellness nurse will be to complete Medicare Annual Wellness visits with eligible… more
- The Cigna Group (Bloomfield, CT)
- …of care goals and modify the individualized plan of care in the integrated care management system as needed. + Document all encounters with the customer and ... to facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of alternative… more
- Baptist Memorial (Memphis, TN)
- Summary Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory ... BSN or RN with BS/BA in Business Administration or Management Minimum: Diploma RN or RN AD Experience Preferred:...years of healthcare care experience and 3 years in Medicare billing environment. Previous audit experience, knowledge of InterQual… more
- InnovaCare (San Juan, PR)
- LE0010 InHealth Management , LLC It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer ... MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare… more
- Elderwood (Amherst, NY)
- …Pay: $36.00 - $52.00 / hour Overview 10k Bonus Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself knowledgable in assessment ... MDS/PPS departments. + Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute...Medical Records and Therapy staff in preparing records for CMS andvarious entities for pre and post-pay record reviews,… more
- Elderwood (Waverly, NY)
- Salary $36.00 - $52.00 Overview Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself an expert in assessment and reimbursement ... MDS/PPS departments. + Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute...Medical Records and Therapy staff in preparing records for CMS andvarious entities for pre and post-pay record reviews,… 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 ... according to MCO, Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services ( CMS ) guidelines + Performs additional clinical… more
- Medical Mutual of Ohio (OH)
- …Committee for Quality Assurance (NCQA), accreditation standards and the Centers for Medicare & Medicaid Services ( CMS ) regulations for quality. Performs medical ... NCQA, HEDIS and Medicare Star rating, health plan accreditation standards, and CMS regulations for quality preferred. Medical Mutual is looking to grow our team!… more
- LA Care Health Plan (Los Angeles, CA)
- …the member's satisfaction in a manner consistent with LA Care, Centers of Medicare and Medicaid Services ( CMS ) and regulatory guidelines. Benefit coordination ... Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department:...communication documentation. Prepares resolved complaint files for Centers for Medicare and Medicaid Services ( CMS ), DMHC, and… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- …review of the EDRP application. Responsibilities The RAI/MDS Resident Assessment Coordinator Nurse is responsible for accurate coding and validation of the MDS in ... accordance with CMS regulations, following the CMS guidelines as...to meet standards and requirements of the Center for Medicare /Medicaid services in our RAI/MDS department for quality improvement/excellence.… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - MDS Coordinator - Per Diem - Days Department: UTILIZATION SERVICES Job Summary The RN - MDS Coordinator will play a crucial role in ensuring ... appropriate participation from other health care professionals according to CMS guidelines. Collaborates with the interdisciplinary team to develop individualized… more
- InnovaCare (Ponce, PR)
- …passion and customer focus to the business. POSITION DESCRIPTION The Quality Specialist Nurse is responsible for monitoring quality of care and services delivered to ... standards. Documents findings of audits into the Physician Audit application electronic system . Performs onsite visits to providers for investigation of quality of… more
- Elderwood (Buffalo, NY)
- …completion date to maximize reimbursement for each individual assessment. + Completes all Medicare Prospective Payment System (PPS) Minimum Data Set (MDS) and/or ... to the Resident Assessment Instrument (RAI) and all federal Medicare regulations. + Establishes the schedule for completion of...management staff or Administrator. Qualifications RN - MDS Nurse Assessor: + Credentialed as a Registered Nurse… more
- Indian Health Service (Kayenta, AZ)
- …performance improvement to assure compliance with hospital accreditation and Centers of Medicare and Medicaid ( CMS ) standards This position is being announced ... Summary This is the Nurse (CAM), Tour Coordinator position located at Kayenta...leadership to assure compliance with Joint Commission, Centers of Medicare and Medicaid ( CMS ), etc. Time In… 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 ... MDS/PPS departments. + Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute...Medical Records and Therapy staff in preparing records for CMS andvarious entities for pre and post-pay record reviews,… more
- Fresenius Medical Center (Portland, OR)
- …material assist devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification or High ... for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training...testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all… more
- Commonwealth of Pennsylvania (PA)
- …in-office or on-site revisit surveys, civil rights surveys, special Centers for Medicare & Medicaid Services ( CMS ) surveys, and occupancy surveys using ... Health Care Nurse Surveyor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4553498) Apply Health Care Nurse Surveyor Salary $66,250.00 -… more
- Aveanna (Waltham, MA)
- …Week Sick time + Cell phone reimbursement + 401(k) Savings Plan + Complete EMR System As an employer accepting Medicare and Medicaid funds, employees must comply ... Quality Improvement (QI) Registered Nurse (RN) ApplyRefer a FriendBack Job Details Requisition...care that will promote positive patient outcomes while following CMS regulations. + Maintain compliance with Federal and State… more
