Average salary: $69,316 /yearly
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- ...activities such as assessing new patient psychosocial needs and completing the KDQOL in accordance with company policy and all state/CMS regulations. You will identify and counsel psychosocial issues and provide patient and family education. As an advocate for your patients...CmsFull timePart timeWork at officeLocal area
- Job Description: Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated...CmsShift workWeekend work
Windsor Healthcare Recruitment Group, Inc.
Santa Rosa, CA5 days ago $3,083.8 - $3,269 per week
...Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, Utilize Milliman Guidelines, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (...CmsAya Healthcare
Santa Rosa, CA1 day ago$2,265 per week
...Knowledge in care coordination, discharge planning, benefits and insurance, and prior authorization processes. Familiarity with InterQual, CMS, NCQA, The Joint Commission, DRG, ICD-10, and HIPAA compliance. Roles & Responsibilities Coordinate patient care and ensure...CmsWeekly payContract workLocal areaShift workTLC
Santa Rosa, CA1 day ago$30.38 - $36.46 per hour
...Partnership Claims Operating Instruction Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22 regulations, and CMS guidelines when resolving pended claims. Generates claims correspondence as needed. Records daily production statistics and...CmsPartnership HealthPlan of California
Santa Rosa, CA4 days ago$36 - $42 per hour
...compliance with all applicable state and federal regulations, including those related to the Centers for Medicare & Medicaid Services (CMS) and the Department of Health (DOH). Maintain appropriate documentation. Monitor all residents for changes in weight weekly and...CmsHourly payRemote workFlexible hoursRD NUTRITION CONSULTANTS LLC
Santa Rosa, CA2 days ago$2,280 per week
...experience is required. Additional Confirmations Care coordination experience is required. Additional Confirmations Experience with CMS: Centers for Medicare and Medicaid Services is required. Additional Confirmations Discharge planning experience is required....CmsHourly payContract workTemporary workLocal areaNOMAD
Santa Rosa, CA22 hours ago$2,480 per week
...Handle prior authorizations and benefits eligibility Maintain accurate documentation in Epic EMR Ensure compliance with CMS, HIPAA, and regulatory guidelines Manage a patient ratio of approximately 1:20 Float between units as needed Requirements...CmsWeekly payLong term contractPermanent employmentTemporary workWork at officeLocal areaShift workWeekend workLanceSoft
Santa Rosa, CA1 day ago$1,000 per month
Go further with the best Benefits & Perks Package our industry has to offer. We provide everything you need to ensure you are covered on and off the clock. Day One Health Coverage You are covered on day one when you take a full-time contract with ORNN. Our premium...CmsWeekly payFull timeContract workShift workTravel Nurses Inc
Santa Rosa, CA4 days ago$118.52k - $154.07k
...departments and external vendors. Ensures all required member material meets regulatory requirements and works closely with Compliance to meet CMS submission deadlines. Manages the team's execution of marketing plans and closely monitors outcomes/metrics. Implements effective...CmsPartnership HealthPlan of California
Santa Rosa, CA1 day ago- ...demonstrated knowledge of operations. 5. Must have a working knowledge of computer programs such as the Microsoft Office Suite and CMS. 6. Must be able to communicate effectively under both positive and negative circumstances within all levels of the organization and...CmsWork at officeImmediate startAll shiftsFlexible hoursShift work
Graton Resort & Casino
Rohnert Park, CA2 days ago $2,721 per week
...placements, and ambulance transport - Participate in family meetings and the development of treatment plans - Ensure compliance with CMS guidelines, HIPAA regulations, and coding standards (ICD 10, CPT) **Qualifications:** - **Certifications:** BLS (preferred) - **...CmsZero hours contractImmediate startShift workWeekend workCatalytic Solutions, Inc.
Santa Rosa, CA2 days ago$50 per hour
...Certifications: BLS Skills: Acute Hospital, Admission Criteria, Ambulatory, Behavioral Health, Benefits Eligibility, Care coordination, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Data Abstraction, Department of...Cms16 hoursContract workLocal areaImmediate startShift workNight shiftWeekend workPSNYC , INC.
Santa Rosa, CA2 days ago$56 per hour
...assessments and arrange durable medical equipment (DME) - Ensure utilization review and prior authorizations are met - Stay compliant with CMS, HIPAA guidelines, and other regulatory bodies **Patient Care Focus:** - Work with adults and geriatrics - Experience with various...CmsHourly payContract workLocal areaImmediate startShift workWeekend workDay shiftCatalytic Solutions, Inc.
Santa Rosa, CA2 days ago$2,426 per week
...management Experience with Epic charting system Ability to work independently and manage time effectively Strong understanding of CMS guidelines and insurance processes Travel experience preferred Why Work With Cuready Healthcare Staffing Flexible scheduling...CmsWeekly payPermanent employmentContract workTemporary workLocal areaFlexible hoursShift workCuready Healthcare Staffing
Santa Rosa, CA2 days ago- ...ancillary departments to support cross‑campus coordination. Regulatory, Accreditation & Compliance Ensure compliance with CMS, CDPH, The Joint Commission, EMTALA, payer requirements, and internal system policies. Oversee regulatory readiness activities...CmsPart timeImmediate start
Providence Health and Services
Santa Rosa, CA13 hours ago - ...Outpatient Orthopedic Therapist; 45 patients weekly, upholds APTA and CMS documentation standards (45 minutes of documentation time daily) Willing to extend to 26 week offer. Requirements: - CA PT Licensure - BLS & or CPR - Minimum 1-2 years of experience preferred (New...CmsFlexible hoursShift work
Zenex Partners
Santa Rosa, CA4 days ago $60 - $75 per hour
...Documentation and Compliance o Conducts comprehensive initial evaluations and writes detailed reports within regulatory timelines (Medicare, CMS guidelines). o Develops measurable, functional, and patient-centered short-term and long-term goals. o Documents daily...CmsDaily paidTemporary workMonday to FridayShift workWeekend workDay shiftSonoma Specialty Hospital
Sebastopol, CA4 days ago$2,610 per week
...Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, Utilize Milliman Guidelines, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (...CmsPermanent employmentContract workTemporary workZero hours contractLocal areaShift workNight shiftWeekend workPrime Staffing
Santa Rosa, CA4 days ago- ...information necessary to determine medical suitability of organs for designated recipients in accordance with regulatory guidelines including CMS, UNOS, AOPO and company policy. Coordinates with tissue services, as appropriate, to facilitate tissue recovery. Coordinates and...CmsTemporary workLocal area
DCI Donor Services
Santa Rosa, CA2 days ago $130k - $160k
Family owned, top performing regional CM Firm, $1B+ in project backlog, average 10 year tenure at company This Jobot Job is hosted by: Joseph Salmeri Are you a fit? Easy Apply now by clicking the "Quick Apply" buttonand sending us your resume. Salary: $130,000 - $160,0...CmsFor contractorsFor subcontractorLocal areaJobot
Santa Rosa, CA5 days ago$2,225 per week
...: Acute Hospital, Admission Criteria, Ambulatory*, Behavioral Health*, Behavioral Health*, Benefits Eligibility, Care coordination, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing*, Data Abstraction*, Department...Cms16 hoursPermanent employmentContract workTemporary workZero hours contractLocal areaShift workNight shiftWeekend workPrime Staffing
Santa Rosa, CA2 days ago$162.75k - $271.25k
...an interview for employment. This capture of applicable transfers of value is necessary to ensure GSK's compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at...CmsTemporary workLocal areaRemote workNight shiftGlaxoSmithKline
Santa Rosa, CA4 days ago$45 - $55 per hour
...including appeals and denials Collaborate closely with interdisciplinary teams, including social services Ensure compliance with CMS, HIPAA, Joint Commission, and other regulatory standards Facilitate safe patient transitions and arrange durable medical equipment...CmsHourly payLocal areaNight shiftWeekend work$80k - $140k
...responsible for performing patient assessments, coordinating care, educating patients and families, and ensuring compliance with Medicare, CMS, CHAP, and state regulatory requirements . This role requires strong clinical judgment, excellent communication skills, and the...CmsDaily paidFull timePart timeFlexible hours$117k - $156k
Responsibilities: Mead & Hunt is looking for a talented, collaborative, and innovative problem-solver who wants to build a dynamic career in aviation planning with a nationally recognized company. This position will lead aviation planning projects in Mead & Hunt’s nationwide...CmsH1bVisa sponsorship- ...including its history, making, and evolution. A master of fine wine service (tastings, wine dinners, etc.). Industry certifications (cms, wset, etc.) important. - Food service: Experience in fine dining food service. Food safety and service certifications required....CmsFull timeWork experience placementRemote workDay shift
- ...Operational CM Management teams , NPI Project Teams, and Technology Order Fulfillment (TOF) to execute NPI programs through global CMs. The role leads CM engagement from early development through full production ramp, ensuring alignment with Keysight technology requirements...CmsContract workFlexible hoursShift work
$26.5 - $29 per hour
...skills and familiarity with tools such as Canva or Adobe Creative Suite. · Experience updating websites (e.g., WordPress or similar CMS). · Ability to manage multiple projects, meet deadlines, and stay organized. · Strong attention to detail and commitment to brand...CmsHourly payFull timeLocal areaWeekend workAfternoon shift$160k - $180k
...configured to capture information accurately (including 1094-C/1095-C Schedule A and Form 5500 Form 720 for PCORI fee Disclosure to CMS etc.); Review and coordinate with internal counsel on new and existing vendor contracts MSA BAA and other agreement documents for...CmsFull timeWork at officeLocal areaMonday to Friday
