- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... Twitter and LinkedIn. **Brief Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is… more
- Beth Israel Lahey Health (Burlington, MA)
- …1 Transplant Administrators meetings. **Strategic** 1. In conjunction with the Chairs, Medical Directors and Executive Director , is responsible for business ... and Managers in establishing department policies and procedures. 3. Works with Chairs, Medical Directors, Executive Director and Managers on the development of… more
- Advocates (Framingham, MA)
- …that values the ideas and contributions of our staff. The Behavioral Health Regional Medical Director (RMD) is a leadership and clinical role within Advocates' ... Behavioral Health Services Division. The RMD serves as Medical Director for the clinics of an...from the National Practitioner Data Bank and absence of Medicare /Medicaid sanctions. + Currently practicing a minimum of 20… more
- Athena Health Care Systems (Marlborough, MA)
- We are hiring an MDS Director to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center in Marlborough! Working with our team and ... you to grow within the company. As the MDS Director , you plan, organize, and direct the MDS process...resident care plans through clinical assessment, review of resident's medical history, personal interviews, and completion of MDS reports.… more
- Fallon Health (Lowell, MA)
- …team of professionals and have access to social support and a wide array of medical services in one convenient location while they keep the independence of living in ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief Summary of Purpose:**… more
- State of Massachusetts (Tewksbury, MA)
- The Department of Mental Health/Tewksbury Hospital is seeking committed qualified applicants for the Director of Social Work. As the Director of Social Work for ... Ability to apply standards of the Center for Medicaid/ Medicare Services * Knowledge and ability to apply standards...comprehensive treatment, care, and comfort to adults with chronic medical and mental illness. A full range of services… more
- Aveanna Healthcare (Waltham, MA)
- Home Health Clinical Director (RN) ApplyRefer a FriendBack Job Details Requisition #: 203456 Location: Waltham, MA 02451 Category: Nursing Salary: $100,000.00 - ... come to Aveanna. We are currently seeking a Clinical Director who will provide overall management and supervision of...allergens and other various conditions As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Elevance Health (Bedford, MA)
- Provider Network Director (Contract Negotiations) (JR143437) **Location** **:** This position supports New Hampshire providers. Must reside within commuting distance ... per week in the local office. The **Provider Network Management Director ** develops the provider network through contract negotiations, relationship development, and… more
- Tufts Medicine (Lowell, MA)
- …within High Pointe House, we're here to care for you. **Job Overview** The Director of Referral Management and Transitions of Care is responsible for developing and ... and upholding requirements of the Department of Public Health; the Centers for Medicare and Medicaid Services (CMS); the Boards of Registration in Nursing and Allied… more
- Genesis Healthcare (Nashua, NH)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... in integration of rehabilitation services in all settings. The Director of Rehab PTA supports the delivery of the...period of one year. 5. A thorough knowledge of Medicare and third party billing is also required. Posted… more
- Fresenius Medical Center (Waltham, MA)
- …+ Fraud and abuse, Stark, and general healthcare-related legal issues. + Medical director contracting and non-competes. + Health facility planning, certificate ... of need, and licensure. + Medicare certification and de-certification. + Billing and reimbursement. +...and reimbursement. + Joint ventures. + Antitrust. + HIPAA, medical records, and privacy. + Medical Staff… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining to FWA investigations Compare to information submitted on… more
- Advocates (Framingham, MA)
- …other members of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and ... board eligible, if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). + Current, valid, unrestricted… more
- Advocates (Framingham, MA)
- …other members of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and ... board eligible, if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). + Current, valid, unrestricted… more
- Athena Health Care Systems (Marlborough, MA)
- …all Medicare certifications and recertification. + Mails and tracks all Medicare denial letters. + Retrieves/prints and faxes medical records to QIO ... (CNA) license and experience is required. + Knowledge of medical terminology, filing, typing, computer, and organizational skills. +...on-going education and provides the information to the RCC/MDS Director so that he/she can follow up. + Enters… more
- Robert Half Finance & Accounting (Lexington, MA)
- …of at least 2 years * Proficiency in billing procedures, with a focus on medical and Medicare billing * Strong knowledge of Microsoft Excel and its applications ... team. This is a permanent role, reporting into a Director of Finance, joining a team of 5. Our...Coordinator with a minimum of 2 years experience in Medicare Billing specifically. Our client is NOT looking for… more
- Aveanna Healthcare (Worcester, MA)
- …evaluation to the nursing staff. This role will support the Nursing Director which may include communication of updated policies and procedures, caseload assignment, ... + Perform other duties as assigned by the Branch Director or Regional Director . REQUIREMENTS: + RN...+ Home Health Case Management. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- State of Massachusetts (Tewksbury, MA)
- …hospital that provides comprehensive treatment, care, and comfort to adults with medical and/or mental illness. The COO serves as a member of the ... desirable. The COO works closely with the Chief Executive Officer (CEO), Chief Medical Officer (CMO), Chief Clinical Officer (CCO), Chief Nursing Officer (CNO), … more
- Beth Israel Lahey Health (Burlington, MA)
- …CAUTI, SSI) with accuracy. Discusses difficult cases with more senior IPs and/or Medical Director (s). Assists in development of control measures or interventions ... state departments of public health (DPH), and Centers for Medicare and Medicaid Services (CMS). 5) Serve as the...management, and reporting in collaboration with IPC leadership and Medical Director (s). (essential) 9) Demonstrates good judgment… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief Summary of purpose:** ... data collection and quality surveillance as required. + Collaborates with the Site Director to establish goals and objectives related to home care services. +… more