Cms jobs in Puerto Rico

 ...supporting Farmacias Plaza patients with on-time medication refills for the conditions included in the Centers for Medicare and Medicaid (CMS) STARs Program, currently Cholesterol, High Blood Pressure, and oral Diabetes, as well as other conditions and Health Plans as... 

Job Description Job Description In general, a Case Manager will be responsible for the following tasks: # Review and interpret doctor's prescription orders to ensure appropriate therapies; # Transcribe prescription data in preparation for pharmacist verification...

 ...Referral Representative N/S - rea de Carolina CMS ofrece un Sistema Integrado de Salud en el hogar, que incluye: Equipo Mdico Duradero (DME), Equipo Respiratorio, Servicios de Salud en el Hogar, Servicios de Infusin, Ortesis y Prtesis. Respondemos a las necesidades... 

 ...in the training of pharmacy representatives. 7. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. 8. In addition, all other duties assigned by the manager... 

 ...Assistant (PTA) We are seeking PTA to join our dynamic Home Care team to provide services to the following towns: About the Company: CMS offers an Integrated Home Health System, which includes Durable Medical Equipment (DME), Respiratory Equipment, Home Health Services,... 

 ...HR Clerk Clinical Medical Services, Inc. - Carolina CMS offers an integrated Home Health System, which includes Durable Medical Equipment (DME), Respiratory Equipment, Home Health Services, Infusion Services, Orthotics and Prosthetics can count on CMS for their immediate... 

 ...supporting a SMA or a large healthcare provider management organization of a similar size Familiarity with MES modernization efforts and CMS guidelines Demonstrated ability to perform and/or lead change management activities using an industry standard change management... 

 ...Appeals, filed by MCS Classicare or MCS Life policyholders, as assigned and in compliance with Centers for Medicare and Medicaid Services (CMS) regulation, Office of the Commissioner of Insurance (OCI), MCS and Grievances and Appeals Unit Policies & Procedures, others.... 

 ...handoff Familiarity with Git or other version control tools Knowledge of basic PHP (for WordPress development) Experience with CMS migrations or Webflow-to-WordPress projects What sets INVID apart is our collaborative and flexible work environment. We... 

 ...determinations and appeals processes in accordance with established policies and procedures. The UR Director maintains full compliance with CMS regulatory standards for utilization reviews and appeals as outlined in the CMS Managed Care Manual, as well as local and national...