- Pacer Staffing (Atlanta, GA)
- …NCL state . Minimum of three years clinical experience . Experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty ... health field . Knowledge of government healthcare programs, TRICARE, and Medicare /Medicaid Key Responsibilities . Assess beneficiaries to identify medical, physical,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …development and monitoring of the plan of care to ensure effective patient case management. Acknowledges and honors the patient and significant others as vital ... perspective and utilizing hospice philosophy of care. Understands hospice Medicare /Medicaid/payor benefits and delivers care in accordance with benefit and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …development and monitoring of the plan of care to ensure effective patient case management. Acknowledges and honors the patient and significant others as vital ... perspective and utilizing hospice philosophy of care. Understands hospice Medicare /Medicaid/payor benefits and delivers care in accordance with benefit and… more
- Bridge Personal Care Services (Findlay, OH)
- …skin integrity, complex wounds, and fistulas. Duty 3: Collaborates with physicians, case managers, and other health professionals in assisting and meeting needs of ... procedures, and practices to ensure quality job performance and Medicare /Medicaid compliance to include OASIS if appropriate. REQUIRED QUALIFICATIONS Possesses… more
- Signature HealthCARE (Louisville, KY)
- …onboarding of new MDSCExhibit competency in all areas of the RAI, Care Planning, PPS, Medicare , and when applicable Medicaid Case Mix What you Need to make a ... facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place… more
- Careerbuilder-US (Chatham, PA)
- …program growth! This organization is accredited by the Joint Commission and Medicare . The clinical staff undergo extensive home health care training, annual ... competencies review, as well as professional development, a clinical advancement program and lifelong learning on the most cutting-edge clinical procedures. With an in-house education department, the organization brings a dedication to educational preeminence… more
- Signature HealthCARE (Nashville, TN)
- …the Resident Assessment Instrument (RAI), Care Planning, Prospective Payment System (PPS), Medicare , and, when applicable, Medicaid Case MixProgram Outcomes: By ... facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place… more
- Signature HealthCARE (Columbus, OH)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... requiredTwo years of sales and/or marketing experience a plus and case management experience preferredMust understand long-term care business, including census and… more
- Bridge Personal Care Services (Findlay, OH)
- …the Home Health/Hospice system. Opportunities would include: Home Health RN Home Health Case Manager Home Health Admission Nurse Wound Care RN Unique Home Health ... Hospice. Duty 3: Establishes and maintains communication/collaboration with the case manager, interdisciplinary team, and patient's primary physician regarding… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …agency policy and procedure.Collaborates and communicates with the patient/family, RN Case Manager, Patient Care Manager, RN Supervisors, Physician, Referral Source, ... development and monitoring of the plan of care to ensure effective patient case management. Acknowledges and honors the patient and significant others as vital… more
- Pacer Staffing (Atlanta, GA)
- …of Defense (DoD) background investigation. Minimum of two years' experience in case management, care coordination, or discharge planning in healthcare or managed ... licensure. Knowledge of government healthcare programs, including TRICARE and Medicare /Medicaid. Competencies Technical Skills: Knowledge of TRICARE programs, managed… more
- Nurses and More (Orlando, FL)
- …Assistant (CNA) Nurses and More, Inc. in Orlando, FL is a Certified Medicare /Medicaid Home Health and Staffing Agency that is currently seeking Certified Nursing ... of patients with disabilities. Pay ranges from $15 - $19 / hour on a case by case basis Come join our team and help ensure our clients to live their best… more
- Signature HealthCARE (Johnson City, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... preferredTwo (2) years sales and/or marketing experience a plus and case management experience preferredMust understand long-term care business, including census and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …coordinator with involvement and oversight of hospice volunteers in the IDG.Provides case management services to patient/family. Assists with Medicare , Medicaid, ... Veteran's Administration and other benefit needs. Assists with verification of patient/family financial status and needs. Advocates for and brokers community resources as appropriate to patient/family need.Provides therapy/counseling services to patient/family… 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 ... work effectively within a team or independently; + Flexible with the ability to shift priorities when required + Holiday rotation (2 holidays per year) + Weekend rotation + Other duties as required **Qualifications:** + **Current unrestricted LPN/LVN license -… more
- The Cigna Group (Bloomfield, CT)
- …order to facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of ... care to the customer and primary care physician. Prioritize case goals, monitor the completion of care goals and...Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified… more
- University of Utah Health (Salt Lake City, UT)
- …related to specific condition. + Participates in organization Utilization Review Committee, weekly Medicare IPPS Case Reviews & RAC Audit Case Reviews. ... care single case agreements. + Maintain and share knowledge of Medicare & Medicaid rules and regulations; provides department education updates monthly and/or as… more
- McLaren Health Care (Port Huron, MI)
- … Medicare residents' MDS assessments. The coordinator will act as resource for the Medicare MDS Case Manager RN's, LTC nurses and all others requiring MDS ... Marwood Nursing & Rehab. **JOB SPECIFIC TASKS & ESSENTIAL DUTIES:** + MDS Case Managers will coordinate care for their assigned resident using a holistic approach.… more
- The Cigna Group (Bloomfield, CT)
- …shifts with every other weekend (Tuesday ALT Day).** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part ... matrix partners to ensure accurate and timely processing of Medicare Appeals. + Read Medicare guidance documents...implementation of new process as needed. + Based on case work and departmental reporting, ability to identify and… more
- The Cigna Group (Nashville, TN)
- The Nurse will: + Deliver professional activities in the Case Management job family. + Coordinate enrollee care needs across the continuum for assigned members who ... coaching, and direction to more junior members of the team in Case Management **Responsibilities include:** + Responsible for the effective and sufficient support… more
