- The Cigna Group (Bluffton, SC)
- … Medicare Advantage, Medicare -Medicaid. Plan (Dual-Eligible) and/or Medicaid. ** Certified Coding Specialist required.** 5+ years of experience with ... audit. **Qualifications:** Bachelor's degree or equivalent. **5+ years of experience with Medicare Risk Adjustment-is required.** 5+ years of experience working with… more
- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4640675) Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) -… more
- The Cigna Group (Bloomfield, CT)
- …follow up contact, which may include primary care physician and specialist appointment scheduling. . Provide clinical assessments, health education, and utilization ... years experience in acute care, home health or case management experience. . Medicare and/or Medicaid experience with geriatric populations a plus . Certified … more
- The Cigna Group (Bloomfield, CT)
- …+ Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred + Experience with community resource organizations + ... follow up contact, which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization… more
- State of Georgia (Gwinnett County, GA)
- Certified Peer Specialist (CPS) - Gwinnett Co. Jail In-Reach Program - Lawrenceville, GA. Georgia - Gwinnett ... that incorporates effective community-based services. TO APPLY PLEASE USE THE LINK PROVIDED Certified Peer Specialist (CPS) - Gwinnett Co. Jail In-Reach Program… more
- State of Georgia (Newton, GA)
- Certified Peer Specialist - New Rock Peer Support - Covington, GA Georgia - Newton - Covington ... disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid, Medicare , war veterans and some private insurance across multiple locations… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015....GA audits and accreditation Overall Key Outcomes: + For Medicare Focused Specialist : + Researches, processes and… more
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... best possible health and quality of life. IT Security Specialist I Performs the less complex, day to day...3 Years of relevant IT experience. Professional Certification(s): + Certified in Risk and Information Systems Control (CRISC) preferred.… more
- Louisiana Department of State Civil Service (LA)
- …from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised in ... Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4664314) Apply Medical Certification Specialist 1-2… more
- Hackensack Meridian Health (Neptune, NJ)
- …and/or strong Medical/Surgical experience. **Licenses and Certifications Required:** + Certified Clinical Documentation Specialist (CCDS) or certification within ... two (2) years of eligibility. **Licenses and Certifications Preferred:** + Certified Clinical Documentation Specialist (CCDS) or certification within two (2)… more
- New York State Civil Service (Albany, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 (NY HELPS) Occupational Category Health Care, Human/Social Services ... NY Zip Code 12229 Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Program Operations Specialist 1: A bachelor's degree in a human services field and… more
- Lancaster General Health (Lancaster, PA)
- …REQUIRED QUALIFICATIONS:** + High school diploma or equivalent (GED) + Certification as Certified Coding Specialist for Physicians (CCS-P) or a Certified ... Health Information Technician), RHIA (Registered Health Information Administrator), CCS ( Certified Coding Specialist ), COC-A ( Certified Outpatient… more
- Marshfield Clinic (Marshfield, WI)
- …if restrictions are substantially related to the position. **Minimum Required** : Certified Child Life Specialist (CCLS) certification awarded by the Association ... or American Red Cross within one month of hire. **Preferred/Optional:** Certified Therapeutic Recreation Specialist (CTRS) certification awarded by the… more
- Corewell Health (Stevensville, MI)
- About Pine Ridge Pine Ridge is a 111-bed Skilled Nursing Facility that is Medicare and Medicaid Certified with 33 private rooms and 39 semi-private rooms. The ... Care 24 Hour Skilled Nursing, Hospice and Respite Care, Restorative Care and Certified Wound Care. About Corewell Health South - Lakeland Hospitals The health system… more
- Signature Healthcare (Lexington, KY)
- …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 ... Healthcare's "Best Places to Work!" Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a love for… more
- Bon Secours Mercy Health (Youngstown, OH)
- …are recognized for clinical and operational excellence. **_Senior Patient Access Specialist - Emergency Department - St Elizabeth Youngstown Hospital_** **THIS IS ... including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Mercy Health policies and provide excellent… more
- LifePoint Health (Denver, CO)
- …your next opportunity. We are currently searching for a Remote Patient Care Specialist . The Remote Patient Care Specialist works to enhance patient satisfaction ... care gaps, immunizations, medication reconciliation and Annual Wellness Visits (traditional Medicare , Medicare Advantage and commercial) * Conducts chart reviews… more
- Marshfield Clinic (Ladysmith, WI)
- …substantially related to the position_ **Minimum Required:** Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician ... most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 HIM-Facility Coding **Scheduled Weekly… more
- Cleveland Clinic (Mayfield Heights, OH)
- SQPE Specialist II Join Cleveland Clinic Hillcrest Hospital and experience world-class healthcare at its best. Hillcrest Hospital provides state-of-the-art ... receive for professional nursing practice. The Safety and Quality Patient Experience Specialist II (SQPE) leads safety, quality, and experience work at Hillcrest and… more
- Spectrum Health Services (Philadelphia, PA)
- …populations. Under the supervision of the Director of Operations, the Referral Specialist is responsible for managing internal and external referral processes to ... address clinical quality measure gaps in care. The Referral Specialist will facilitate the processing of ordered referrals utilizing the electronic medical record… more