- Rady Children's Hospital San Diego (San Diego, CA)
- …with Organ Procurement and Transportation Network (OPTN) policies and Centers for Medicare /Medicaid Services ( CMS ) regulations The Nurse Practitioner ... JOB SUMMARY: The Nurse Practitioner, Solid Organ Transplant Coord provides comprehensive...Responsibilities include: -Coordination of an interdisciplinary medical care delivery system under the direction of the Medical Director -Serving… 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 ... for providers and medical groups. + Participate in additional audit activities for CMS RADV as needed, including retrospective chart reviews. + Travel to provider… 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
- Fairview Health Services (Edina, MN)
- …Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services ( CMS ). **Job Expectations:** Assessment + Conducts ... according to MCO, Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services ( CMS ) guidelines + Performs additional clinical… 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 (Maplewood, 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
- 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
- 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
- CareOregon (Portland, OR)
- …diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system . If you receive an offer of employment for this position, it ... symptom management with needed orders. Job Summary The Hospice Nurse Practitioner works in collaboration with hospice staff to provide professional,… 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
- 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
- PruittHealth (Athens, GA)
- …concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services ( CMS ) regulations 8. Performs Health ... care to patients and families and provides care coordination and care management activities on behalf of the PruittHealth Premier Plan. Practices within the… more
- CareOregon (Medford, OR)
- …of Medicare parts A and B benefit packages and the Centers for Medicare and Medicaid Services ( CMS ) rules and regulations and community resources + Knowledge ... contractor and must comply with all federal laws. Job Title Registered Nurse - Care Coordinator (Community) Exemption Status Exempt Department Clinical Services… more
- Central Maine Medical Center (Lewiston, ME)
- …compliance and survey readiness with The Joint Commission (TJC), Centers for Medicare Services ( CMS ) and other regulatory bodies.i) Identifies and reports ... practicing in accordance with assigned areas of the hospital.b) Responsible for system wide project management related to nursing initiatives.c) Responsible and… more
- AdventHealth (Tavares, FL)
- …Tavares, 32778** **The role you'll contribute:** **GENERAL SUMMARY** **:** **As a Nurse Manager with Florida Hospital Waterman Emergency Services, you will make ... for the whole person in a faith-based atmosphere. The Nurse Manager is a registered professional who has the...in shared decision-making where appropriate.** **.** **Uses effective conflict management skills and is able to reach a common… more
- Iowa Department of Administrative Services (Independence, IA)
- …of the following: + compliance with The Joint Commission (TJC), Centers for Medicare & Medicaid Services ( CMS ), and other applicable standards and regulations ... Nurse Supervisor Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4728382) Apply Nurse Supervisor Salary $70,824.00 - $109,054.40 Annually… more
- Central Maine Medical Center (Bridgton, ME)
- …number and mix of patients and unit staff exceeds staffing availability. Human Resource Management : a) Assists Nurse Leader in the selection and development all ... time limits Supports all affiliated student programs b) Performance Management - Under the direction of the Nurse...Develop and maintain awareness of TJC (The Joint Commission), CMS (Centers for Medicare Services) and other… more
- Central Maine Medical Center (Lewiston, ME)
- …department compliance and survey readiness with The Joint Commission (TJC), Centers for Medicare Services ( CMS ) and other regulatory bodies. + Identifies and ... practicing in accordance with assigned areas of the hospital. + Responsible for system wide project management related to nursing initiatives. + Responsible and… more
- UCLA Health (Los Angeles, CA)
- …grievances, utilization management , or potential quality issues * Knowledge of Medicare Advantage plan operations and CMS regulations, highly desired * ... Description As the Appeals & Grievances Nurse , you will play a key role in...of medical care and services rendered in relation to Medicare guidelines, compliance requirements, and internal policies. + Identifying… more
- Sutter Health (San Francisco, CA)
- …and professional standards affecting case management practice in an integrated delivery system : including but not limited to: CMS , Title 22, CHA Consent ... of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through… more