Average salary: $80,000 /yearly
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- ...QAPI activities including participation in accreditation preparation and survey process, and maintenance of accreditation, state, and CMS standards. Qualifications: Kansas RN license (or compact) 3 years of acute care RN experience preferred Why BJC Health System?...CmsFull timeReliefShift workNight shift
Saint Luke's Hospital of Kansas City
Topeka, KS5 days ago $19.01 per hour
...maintain a level of high efficiency/productivity. Ensure adherence to call center turn around time requirements associated with DPW/CMS regulations. Take necessary steps to perform a complete and accurate evaluation of all non-formulary drug exception requests prior...CmsFor contractorsLocal areaHighmark Health
Topeka, KS1 day ago- Description Introduction Are you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Acute Rehab and access programs to assist with every...CmsFull timeTemporary workPart timeFlexible hours
Research Medical Center
Topeka, KS17 hours ago - ...Certified Dialysis Nurse (CDN) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through clinical...CmsFlexible hoursWeekend workDay shiftAfternoon shift
DaVita
Topeka, KS17 hours ago - Description Introduction Are you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to assist with every stage ...CmsFull timeTemporary workPart timeFlexible hoursNight shift
Research Medical Center
Topeka, KS2 days ago - ...support budgeting, forecasting, and operational decision-making Oversee the development and submission of the annual PACE Part D bid to CMS Support financial strategic planning, growth initiatives, and continuous improvement efforts Collaborate with Development on...CmsFull timeCasual workWork at officeLocal area
Midland Care Connection, Inc.
Topeka, KS10 days ago $94k - $160k
...participate in client contract negotiations Monitor and interpret state and federal cyber regulations (e.g. HIPAA, HITRUST, NIST, CMS, etc.), identify gaps, and recommend updates to security controls and frameworks Provide leadership to guide Information...CmsContract workWork experience placementLocal areaRemote workVisa sponsorshipWork visa$23.03 per hour
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and ...CmsFor contractorsLocal area$16 - $18 per hour
Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think...CmsFull timeContract workInterim roleReliefWork at officeLocal areaMonday to Friday$78k
...: Serves as a member of the quality team. Supports the maintenance of a strong quality program and adherence to State, Federal, CMS, Accreditation (NCQA and/or URAC), and contractual requirements. Adherence to the organization's ability to be in a constant state of...CmsWork experience placementWork at officeImmediate start$170k
...to developing new policies, the incumbent ensures all existing medical policies, in their scope, are in accordance with NCQA and/or CMS requirements. The incumbent may be required to address escalated inquiries brought forward by internal/external partners. Conducts peer...CmsFor contractorsWork at officeLocal areaRemote work$50.2k
...systems and databases, focusing on productivity, quality and compliance. Ensure compliance with all regulatory entities (i.e., DOH, CMS, NCQA, etc.) Create, implement, monitor and report on the policies and procedures to ensure all required business/compliance...CmsFor contractorsWork at officeLocal area$26.49 per hour
...Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality,...CmsFor contractorsWork at officeLocal areaRemote workFlexible hours$49.5k - $61.5k
...with responsibilities of building and maintaining relationships with key industry professionals including Owners, Architects, GCs and CMs, and conducting research in their assigned territory to successfully secure project data. This is a full-time position and...CmsFull timeLocal areaRemote workHome officeWork visaMonday to Friday$170k
...Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the...CmsFull timeFor contractorsPrivate practiceWork at officeLocal area$57.7k
...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 area$23 - $26.5 per hour
...guidelines and timelines. Moderate background in financial and loss analysis including ability to determine: all funds/advances due CMS have been recovered. Moderate ability to conduct quality assurance reviews. Preferred Accounting Background--Must possess the...CmsImmediate startRemote workWork from home$150k - $206.3k
...to ensure compliance with: Privacy, Security, and data sharing policies, Federal & State Laws, CHAPs certification requirements, and CMS regulations as applicable Establish an annual oversight workplan for areas of oversight (CenterWell Home Health & OneHome)...CmsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours$205.4k - $234.4k
...platforms, including but not limited to: Marketing Automation Platform (MAP - e.g., HubSpot, Marketo, Pardot), Content Management System (CMS), Account-Based Marketing (ABM) platforms, CDP/Data Infrastructure, and Analytics Tools. Data Flow & Integrity: Oversee the...CmsFull timeContract workPart timeLocal areaRemote work$77k - $105.1k
...understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining,?and building?relationships with Humana's customers, both internal and...CmsFull timeTemporary workApprenticeshipRemote workRelocation$71.1k - $97.8k
...benefits to a provider and/or member while effectively documenting through assessments and/or evaluations while maintaining compliance with CMS regulations. The Care Manager Telephonic Nurse must also assess for member physical, environmental, and psycho-social health issues...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeImmediate startRemote workWork from homeHome officeWeekend work$59.3k - $80.9k
...Encounter Data Management Professional, you will identify complex errors and problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity for Medicare/Medicaid claims...CmsBi-weekly payFull timeTemporary workApprenticeshipInternshipWork at officeRemote workWork from homeHome officeFlexible hours
