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$223.8k - $313.1k
...A leading healthcare organization is seeking a Medical Director to oversee clinical services and ensure compliance with CMS guidelines. This remote position requires an MD or DO, with at least 10 years of clinical experience. Responsibilities include reviewing clinical...CmsRemote workHumana
Montpelier, VT9 hours ago- A data collaboration platform for healthcare is seeking an Inpatient Auditing Specialist. This fully remote role requires 3+ years of coding and auditing experience along with an Associate or Bachelor's degree from an AHIMA-certified HIM program. The specialist will conduct...CmsRemote work
Datavant
Montpelier, VT9 hours ago - ...experience and OASIS experience a must, as this position will case manageMcKesson/Netsmart EMR experience requiredCOVID VACCINATION REQUIRED (CMS guidelines). No Exemptions accepted. Shift: DAYS: Monday-Friday (w/ weekend rotation approximately every 4th week)...CmsMonday to FridayShift workWeekend work
MedNinjas
Barre, VT3 days ago - Unit Description: The Case Manager (CM) coordinates the care and services of selected patient populations across the continuum of illness; promotes effective utilization and monitoring of health care resources; and assumes a critical role with an interdisciplinary team...CmsTemporary workRelocation packageFlexible hours
University of Vermont Medical Center
Burlington, VT9 hours ago - ...to meet the needs of diverse populations. Regulatory & Compliance Knowledge Maintain up-to-date knowledge of HIPAA, JCAHO, CMS, and other regulatory requirements. Perform utilization reviews using InterQual or equivalent criteria. Issue HINNs and IM...CmsPart timeShift workWeekend work
University of Vermont Medical Center
Burlington, VT1 day ago - ...communication, and problem-solving skills Experience with personnel management and professional nursing practice standards Knowledge of CMS and regulatory standards BLS, ACLS, and PALS certification required Why NVRH? Located in Vermont's scenic Northeast Kingdom, NVRH is...CmsDaily paidShift work
- ...future clients ~ Ability to work within national coalitions to effectively advocate for payment reform,qualityand health equity at CMS/CMMI, within professional organizations and guilds, and across health plan partners. Experience we look for: ~ MD, DOboard certification...CmsWork at officeImmediate startRemote work
Evolent
Montpelier, VT1 day ago - ...situations. Ensures all calls are handled according to contractual service standards and document all cases in the Case Management System (CMS). Performs call follow-up and reporting as assigned. Demonstrates outstanding customer service. Demonstrates exceptional...CmsContract workWork experience placement
ASM Research, An Accenture Federal Services Company
Montpelier, VTa month ago $19.5 - $21.5 per hour
...21.50/hr. What you'll do: Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insurer/CMS guidelines and requirements. Review, follow-up, and ensure the timely and accurate completion of all regular scheduled steps including...CmsWork experience placementRemote workWork from homeCarrington
Montpelier, VT3 days ago$250k
...the highest standards of patient safety, infection prevention, and regulatory compliance, including adherence to The Joint Commission, CMS, and state regulations. The individual will be accountable for developing and maintaining policies and procedures for perioperative...CmsFull timeRutland Regional Medical Center
Rutland, VT13 days ago$75k - $90k
...Flexible Spending Account Paid Time Off, Retirement Savings Commuter Benefits program Visa Sponsorship opportunities CMS’s Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a RN Health Care...CmsFull timeImmediate startVisa sponsorshipMonday to FridayFlexible hoursGreenLife Healthcare Staffing
Burlington, VT3 days ago- Lead Non-Clinical Case Mg VT ARNG Case Mgt Svcs Category Medical Services Description Organization Established in 2006, Interactive Government Holdings, Inc. (IGH) is a leading professional services and technology provider to the Federal Government. Our mission...CmsFull timeContract workPart timeFor contractorsWork at officeLocal area
Interactive Government Holdings Inc
Colchester, VT1 day 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
Montpelier, VT4 days ago - Introduction A career in IBM Consulting is built on long-term client relationships and close collaboration worldwide. You’ll work with leading companies across industries, helping them shape their hybrid cloud and AI journeys. With support from our strategic partners...CmsWorldwide
IBM
Williston, VT9 hours ago $75k - $90k
...JOB TITLE (#1182): RN Health Care Facility Surveyor - Vermont CMS’s Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement...CmsFull timeWork at officeImmediate startRemote workMonday to FridayFlexible hoursImpact Recruiting Solution
North Pomfret, VT3 days ago$51.31 - $76.97 per hour
...Maintenance Department functions in maintaining the physical structures, Life Safety Codes, compliance with regulatory standards to include CMS, OSHA and standards for HVAC, medical equipment, electrical systems, utility systems and grounds of the hospital in an operative and...CmsHourly payFull timeShift workWeekend work$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
Montpelier, VT2 days ago$80.5k - $103.41k
...Provide Tier 2 / Tier 3 application support for DC warehouse systems, including: Manhattan Active Warehouse Management (Active WM) CMS SYNQ / Auto Store SLAM Numina and other supporting integrations Troubleshoot production incidents, analyze root cause,...CmsTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hoursShift workCardinal Health
Montpelier, VT4 days ago$124k - $280k
Specialty/Competency: Oracle Industry/Sector: CM X-Sector Time Type: Full time Travel Requirements: Up to 80% A career in our Finance team, within our Oracle consulting practice, will provide you with the opportunity to help organizations use enterprise ...CmsFull timeH1bPwC
Montpelier, VT4 days ago$15.87 - $27.25 per hour
...beneficiaries to provide MTM services. Documents and records services/activities in appropriate databases/software to ensure compliance with CMS requirements for clinical service offerings assigned in designated area. Engages in drug utilization review (DUR) by supporting the...CmsHourly payFull timePart timeWork at officeRemote workWork from homeMonday to FridayFlexible hoursShift workCentene Corporation
Vermont9 hours ago$115.2k - $158.4k
...Partner with Enterprise Compliance team members on regulatory outreach. Serve as the Regulatory Compliance subject matter expert during CMS program audits. Lead onsite program audit preparation and activity and perform oversight of business audit preparation to ensure...CmsFull timeContract workTemporary workRemote workHumana
Montpelier, VT9 hours ago- ...diverse adult patient population. • National Provider Identifier (NPI) is required (with Centers for Medicare & Medicaid Services (CMS) confirmation notice, as applicable). • Current Drug Enforcement Administration (DEA) certificate. • Basic Life Support (BLS) certification...CmsMinimum wagePermanent employmentFull timeFor contractorsWork at officeLocal areaImmediate startRemote work
International SOS Government Medical Services
White River Junction, VT2 days ago - Job description: Our nurses are a critical part of the UVM Health team. We celebrate their daily contributions and the positive impact they have on our patients and their health. At University of Vermont Health, you will work with a diverse group of nurses...CmsTemporary workSeasonal workRelocationRelocation packageFlexible hours
University of Vermont Health
Burlington, VT2 days ago $30 - $40 per hour
...interdisciplinary teams to determine a plan of care that improves residents'/patients’ overall health and well‑being. Ensure adherence to CMS, State, and Federal regulations and company standards. Provide coverage in multiple buildings based on company needs, and as desired...CmsDaily paidLocal areaMonday to FridayFlexible hours$48.3k - $65.9k
Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator...CmsBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to FridayHumana
Montpelier, VT4 days ago$100k
Senior Project Manager / Owner's Project Manager (Remote) HELM is seeking a full-time construction Senior Project Manager / Owner's Project Manager to join our growing team and expand our impact. Our ideal candidate is an experienced project manager who has worked in commercial...CmsHourly payFull timeTemporary workFor contractorsWork at officeLocal areaRemote workWork from homeHome officeFlexible hoursYestermorrow Design/Build School
Vermont9 hours 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
Montpelier, VT1 day 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
Montpelier, VT9 hours ago$94.9k - $130.5k
...new data source selection of a complex Test Kit platform that serves members in home options that drive member measure compliance to CMS HEDIS (Healthcare Effectiveness Data and Information Set) Stars measures. This role bridges product ownership, data and software engineering...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Montpelier, VT9 hours ago$78k - $88k
...and user experience while ensuring the operational health, technical integrity, and continual improvement of the college's enterprise CMS and its associated digital ecosystem. As a core member of the marketing leadership team, this role reports to the Senior Director...CmsFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftChamplain College Incorporated
Burlington, VT9 hours ago
