- Medina Center for Rehabilitation (Valley City, OH)
- …claims or administrative record reviews by outside intermediaries. Monitoring -Completes and assess compliance with Medicare , Managed Care and - - Medicaid and ... SUMMARY: - - - - - - - Coordinates Medicare , Managed Care and Medicaid activities at the facility...., Managed Care and Medicaid claims review unit and compliance unit to assist facilities in complying with company… more
- Innovative Management Systems Incorporated (City Of Industry, CA)
- Description:Position: Contract Coordinator This position will assist in the development and management of the contracting process workflow, and other duties as ... needed by the Contracting Department. The Contract Coordinator will need to be able to multi-task, be...accuracy through use of audits.Maintain and adhere to healthcare compliance and other government regulations.May need to perform on-site… more
- Liberty Health (Kernersville, NC)
- …industry. Join us! We are currently seeking an experienced: QUALITY IMPROVEMENT COORDINATOR - LIBERTY ADVANTAGE Full Time JOB SUMMARY: Assists with collecting, ... QI plan Collaborate with team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS) Versed in HEDIS technical specification Ability… more
- Williamsburg Landing (Williamsburg, VA)
- …all residents of Williamsburg Landing Health and Rehabilitation Center, ensuring compliance with state and federal laws, licensing, and accreditation (CARF-CCAC) ... program Recommends and completes plans of correction for past non- compliance scenarios; involves CNAs and Nurses in Action PlansLeads...quality reports on a monthly basis with the MDS Coordinator for areas of opportunity; if identified, creates a… more
- Marion County (Salem, OR)
- …for PBNC staff) with Supervisor, QMHAs, and/or Older Adult Behavioral Health Coordinator . Frequency will be determined by needs of unit, at minimum quarterly. ... be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND must… more
- State of Indiana (Indianapolis, IN)
- Medicaid/ Medicare Coordinator Date Posted: Jun 25, 2024 Requisition ID: 445663 Location: Indianapolis, IN, US, 46202 Work for Indiana Begin a fulfilling career ... is fully engaged with this mission. Role Overview: In this role, Medicaid/ Medicare Coordination Manager, you will establish priorities, targets, and deadlines for… more
- Bear Mountain Health Care (Fall River, MA)
- We are seeking your skills and compassion as an MDS Coordinator to come join our team! We have excellent wages and benefits. Benefits Include: Pay rate up to $50hr ... described in facility policies and procedures, code of conduct, corporate compliance plan, employee handbook and other company documents and publications Minimum… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary Job Description Medicare Part D Specialist is responsible for coordinating and performing Medicare ... the Martin's Point program is complaint with CMS regulations. As the primary coordinator for audits and comprehensive program management of Part D programs, this… more
- State of Indiana (Indianapolis, IN)
- Medicare Claims Analyst Date Posted: Jul 5, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... is fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve as the primary subject...ensure it meets federal and state policies and grants compliance . + Develop and supervise training of employees and… more
- BlueCross BlueShield of North Carolina (VA)
- …**What You'll Do** + Support Pharmacy Quality Team initiatives and work on Medicare Part D Patient Safety measure gap closure + Provide advanced technical knowledge ... ensuring an integrated approach is used. + Act as Business Lead/ Coordinator on large, complex departmental and/or some corporate projects/initiatives. + Facilitates… more
- Intermountain Health (Miles City, MT)
- …Maintains working knowledge of CMS Regulations so that documentation supports and reflects compliance . + Maintains working knowledge of Medicare skilled and MDS ... **Job Description:** The MDS Coordinator is a Registered Nurse who has the...or elder abuse. + Assesses potential admissions for qualifying Medicare skilled criteria. + Collaborates with resident/family/significant other and… more
- Fresenius Medical Center (Webster, TX)
- …core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL ... options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). +… more
- Trinity Health (Darby, PA)
- …Full time **Shift:** Day Shift **Description:** The Appeals and Utilization Management Coordinator under direction and in collaboration with the RN Care Coordination ... appeals process for the THMA South hospitals. The Appeals and Utilization Management Coordinator ensures the delivery of effective and efficient patient care as it… more
- The Buckingham (Houston, TX)
- …the mission and vision of The Buckingham. Position Summary: The MDS Coordinator is responsible for directing the Resident Assessment Instrument process and care ... Responsibilities: + Maintains current knowledge base of guidelines for Medicare /Medicaid providers. + May conduct pre-admission assessments for residents seeking… more
- National Health Care Associates (Bethel, CT)
- …We invite you to join our team! **-** **What You'll Do:** As an MDS Coordinator / Nurse Assessment Coordinator , you will complete and assure the accuracy of ... Data Set (MDS) assessments for all residents. The MDS Coordinator / Nurse Assessment Coordinator contributes to...+ Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS… more
- AdventHealth (Winter Park, FL)
- …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... Lakemont Ave, Winter Park, FL 32792** **The role you'll contribute:** The RN Coordinator for **AdventHealth Hospital at Home (AHHaH)** will ensure safe and quality… more
- The New Jewish Home (Mamaroneck, NY)
- …Care, Commercial Plans and Medicaid. + Ensures that documentation supports Medicare eligibility and documentation optimizes reimbursement, compliance with ... Westchester is currently seeking a Full Time RAUM MDS Coordinator to join their team! This position has an...appropriate scheduling and completion of the MDS required for compliance with OBRA regulations and as required by the… more
- WMCHealth (Warwick, NY)
- Coordinator Company: Schervier Pavilion City/State: Warwick, NY Category: Clerical/Administrative Support Department: Sub-Acute Admissions Union: YES Union Name: ... Apply Now External Applicant link Internal Applicant link Job Details: The Coordinator of Admissions and Medical Records is responsible for admission process… more
- Athena Health Care Systems (Plymouth, MA)
- MDS Coordinator Full-Time, Monday - Friday Plymouth Rehabilitation & Health Care Center - Plymouth, MA Posted 2 weeks ago We are hiring an MDS Coordinator to ... you to grow within the company. As the MDS Coordinator , you will play a crucial role in assessing...and documenting residents' needs, developing care plans, and ensuring compliance with regulations. Experience & Education: + Must possess,… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Manhattan Psychiatric Center, P25105 Occupational Category Health Care, ... Qualifications Manhattan Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of… more
