Average salary: $268,450 /yearly
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- ...compliance of healthcare services for Medicare and Medicaid. The role necessitates reviewing clinical cases, ensuring alignment with CMS guidelines, and working collaboratively with a team. Candidates must hold an MD or DO degree, have board certification, and possess extensive...CmsRemote work
Humana
Baton Rouge, LA5 days ago $34.23 - $61.15 per hour
...with other members of the health care team Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs. Consults with the physician in the development of the therapy plan of care Observes...CmsHourly payMinimum wageFull timeWork experience placementLocal areaUnitedHealth Group
Baton Rouge, LA2 days ago- ...instruction to radiologic technology students as needed. - Maintains compliance with regulatory agencies, including Joint Commission, DEQ, CMS, ACR, FDA, and MQSA. - Answers phones and greets guests using AIDET communication principles. - Completes required education and...Cms
Baton Rouge General
Baton Rouge, LA4 days ago - Woundtech has been on a mission to ensure that anyone, anywhere can get access to the best wound care possible and we've been achieving that goal year over year to patients across the US from Puerto Rico to Hawaii! We do this by providing concierge care to all...CmsLocal area
Woundtech
Central, LA4 days ago - ...Radiology systems Specialized Knowledge : - Familiarity with healthcare accreditation standards (CoC, ACR, QOPI, FACT) and CMS requirements. - Proficiency in using LMS platforms, instructional tools, and outcome tracking software. - Knowledge of clinical...CmsWork at officeShift work
Mary Bird Perkins Cancer Center
Baton Rouge, LA5 days ago $64k
...appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy. Perform final review and...CmsFull timeWork at officeLocal areaRemote workMonday to FridayBAYADA Home Health Care
Baton Rouge, LA5 days ago$94k - $160k
...responsible for driving enterprise-wide alignment on interoperability requirements mandated by the Centers for Medicare & Medicaid Services (CMS) and ensuring organizational compliance with CMS interoperability mandates. Responsibilities Develop, execute, and lead...CmsWork experience placementWork at officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
Baton Rouge, LA4 days ago- Company Highmark Inc. Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral...CmsWork at officeLocal areaRemote workFlexible hours
Highmark Health
Baton Rouge, LA5 days ago $19.85 - $30.21 per hour
...complete pre-authorizations for members and providers. Makes outbound calls as needed to obtain information for compliance with NCQA, CMS or other regulatory guidelines for completion of utilization review preauthorization service requests or concurrent reviews in a...CmsHourly payWork at officeRemote workFlexible hoursIntermountain Health
Baton Rouge, LA5 days ago- ...cafe and bar (where necessary). Assists with special cleaning projects and room turnover. Follows all current Joint Commission / CMS regulations pertaining to Environment of Care and Cleaning requirements. Other related duties as required. The above statements...CmsFull timeWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
Ochsner Health
Baton Rouge, LA5 days ago - ...cafe and bar (where necessary). Assists with special cleaning projects and room turnover. Follows all current Joint Commission / CMS regulations pertaining to Environment of Care and Cleaning requirements. Other related duties as required. The above...CmsFull timeWork experience placementLocal areaImmediate startMonday to FridayFlexible hoursDay shift
Ochsner Health
Baton Rouge, LA20 hours ago - ...Investigate and follow up on open or exception items and provide daily status. Participate in verification of discrepancies as directed by CMS Supervisor. Assist CMS Supervisor in conducting random inventory and teller audits. Perform customer service actions in...CmsFull timeContract workFlexible hoursShift work
Loomis US
Baton Rouge, LA1 day ago $223.8k - $313.1k
...Overview Become a part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing Home Health, SNF, DME, dual Medicare/Medicaid, Medicaid, IRF and LTACH requests. The Medical Director...CmsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeMonday to FridayHumana
Baton Rouge, LA2 days ago- ...with respect to Collaborative Agreements. Completes accurate billing and coding activities for all patient encounters according to CMS guidelines. Defines goals for professional growth and participates actively in professional activities and organizations....CmsTraineeshipFlexible hoursNight shift
FC Compassus LLC
Baton Rouge, LA4 days ago $57.7k
...business process requirements, regulatory requirements and accreditation standards. Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published...CmsTemporary workFor contractorsWork at officeLocal areaRemote workHighmark Health
Baton Rouge, LA5 days ago$25k
...workflows. Document all outreach efforts, clinical interactions, and outcomes accurately and in compliance with organizational and CMS regulatory standards. Prepare, participate and discuss patients in center huddles and high-risk rounds with providers and the...CmsFull timeTemporary workApprenticeshipWork at officeMonday to FridayCenterWell Primary Care
Denham Springs, LA4 days ago$25k
...workflows. Document all outreach efforts, clinical interactions, and outcomes accurately and in compliance with organizational and CMS regulatory standards. Prepare, participate and discuss patients in center huddles and high-risk rounds with providers and the...CmsFull timeTemporary workApprenticeshipWork at officeMonday to FridayCenterWell
Baker, LA5 days ago$108k - $135k
Design a career and build your future... Because it matters! Project Manager - Heavy Civil Construction McMillen, Inc. is seeking a highly skilled Project Manager - Heavy Civil Construction to join our growing construction division! This position is required...CmsContract workFor contractorsFor subcontractorVisa sponsorshipNight shiftMcMillen
Baton Rouge, LA2 days ago$223.8k - $313.1k
...Role Overview Perform expert clinical review of inpatient medical records, assessing medical necessity based on national guidelines, CMS regulations, Humana policies, and recognized clinical standards. Analyze complex hospital-based cases and deliver clear, well-reasoned...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend workHumana
Baton Rouge, LA5 days ago$60.8k - $82.9k
...trends. Provide actionable insights to leadership for decision-making. Compliance & Quality Assurance: Ensure systems align with CMS, HIPAA, and payer requirements. Respond to internal and external audit and data requests. Support staff with system use and...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeCenterWell
Baton Rouge, LA4 days ago$78.4k - $107.8k
...Progressive experience with interoperability solutions in healthcare ~2+ years of experience working with NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system ~ Experience with SQL including the ability to create reports from scratch and run...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Baton Rouge, LA3 days ago$97.5k - $199.5k
Job Description Serve as Oracle's PMO Lead providing governance and oversight to the Developer-led program and GC delivery. Own the PMO cadence, integrated schedule alignment, and risk/change governance for Oracle's interests, ensuring Oracle-specific gates-standards...CmsTemporary workFlexible hoursOracle
Baton Rouge, LA3 days ago- ...contribute reliably and consistency (buying guides, tutorials, and news) under tight deadlines. Willing to input work into our in-house CMS, as well as find and format images, according to our guidelines. Stay up to date on the latest Windows news, products and updates....CmsContract workImmediate startRemote work
- Description The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works...CmsFull timeWork at office
- Job Description Job Description We are seeking a highly skilled Maximo Application Suite (MAS) Solution Design Engineer to support NASA’s Office of Strategic Infrastructure (OSI) through full lifecycle systems engineering, project management, and solution design in...CmsWork at office
- Job Description Job Description The Office of Technology Services (OTS) was established as a means of recognizing cost savings through the consolidation of State IT assets and resources. The creation of OTS consolidated a wide variety of existing hardware platforms...CmsTemporary workWork at office
$27.2k - $41.6k
...on this position. Your role in our mission Conduct on-site visits to healthcare provider facilities to assess compliance with CMS, state, and federal enrollment standards. Maintain accurate documentation and detailed reports of all site survey findings and observations...CmsFull timeFlexible hoursNight shift- ...are not limited to: 1. Satisfies Core Competencies • Strong knowledge of industry regulations and standards – ASHE, OSHA, HRSA, CMS, NFPA, and other government, state, and local regulatory agencies • Accepts responsibility for ensuring that performance meets the...CmsFor contractorsWork at officeLocal area
- ...9.1 framework _(formerly known IBM Web Sphere Commerce)_ or any other enterprise Java based eCommerce (SAP/Hybris, ElasticPath) or CMS (Coremedia, Open CMS) . The position requires to be proficient developing with CI/CD Agile methodologies using BitBucket/Jira...Cms
$115k - $170k
Cities & Places At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical problems for thriving cities, resilient environments, mission-critical outcomes...CmsFull timeContract work
