Average salary: $122,739 /yearly
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$252k - $302k
...inpatient rehabilitation facilities, and long-term care hospitals Collaborate with interdisciplinary clinical teams while adhering to CMS and Medicare guidelines Coordinate care transitions with hospice, palliative care, and home care agencies Ensure timely,...CmsFull timeRecruitWell
Worcester, MA27 days ago$252k - $302k
...facilities - Inpatient rehabilitation facilities - Long-term care hospitalsCollaborate with interdisciplinary clinical teams and adhere to CMS guidelinesCoordinate care transitions with hospice, palliative care, and home care agenciesEnsure timely and accurate documentation...CmsFull timeLocal areaRelocation packageNight shiftSource Medical, LLC.
Worcester, MA27 days ago- Position Summary: As an integral member of the care management team the Behavioral Health (BH) Care Manager (CM) will have the opportunity to make a profound impact on the lives of individuals living with complex and/ or chronic Behavioral Health conditions, many ...CmsMonday to Friday
Family Health Center
Worcester, MA2 days ago - ...admissions, rounding, and ongoing follow-up visits Partner with physicians, PAs and NPs to deliver team-based, coordinated care Ensure CMS compliance while maintaining a patient-first approach Build meaningful relationships with patients, families, and facility partners...CmsFull time
Integrity Medical Post Acute Specialists
Worcester, MA1 day ago $25.83 - $38.36 per hour
A leading health care provider in Worcester, Massachusetts seeks a Coding Specialist to manage workflow and provide training for staff. This role involves accurate coding of medical records and quality assurance of coding processes. Candidates should have a minimum of five...CmsHourly pay- A leading healthcare provider in Worcester, Massachusetts, is seeking an experienced medical coder. The position requires at least 5 years of medical abstraction and expertise in ICD-CM and CPT HCPCS coding systems. Responsibilities include managing coding staff, reviewing...Cms
$270k
...productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range...CmsFull timePart timeWork experience placementRelocation packageShift workWeekend workDay shiftWeekday workAvera Health
Worcester, MA3 days ago$119k - $183k
...utilization performance improvement Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy Ensure timely and effective patient transition and planning to support efficient patient throughput...CmsShift workTenet Massachusetts
West Side, MA10 hours ago- ...Conduct telephonic or video MTM sessions for Medicare and commercial patients. Document clinical interventions and CMRs in compliance with CMS standards. Identify and resolve medication-related problems and adherence barriers. Qualifications: PharmD and MTM certification...CmsFull timePart timeRemote workWork from homeFlexible hours
$285k - $310k
...Collaborate with SE team in meeting related utilization metric and MLR goals Regulatory compliance Ensure compliance with all CMS physician services requirements for SNFs, including required visit frequency, supervision requirements, medical oversight, and...CmsLocal areaMonday to FridayFlexible hoursFallon Health
Worcester, MA1 day ago- ...Responsibilities: Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards. Develop and implement action plans to address deficiencies and improve care delivery....CmsRemote work
Fresenius Medical Care
Worcester, MA4 days ago $60k - $90k
...and the importance of medication adherence Provide counseling and emotional support to patients and their families Knowledge of CMS Regulations and NCQA HEDIS Guidelines Document accurate medical records to ensure compliance with OSHA and Government regulations...CmsPart time2 days per weekMedElite Group, LLC.
Worcester, MA4 days ago- ...the position and are in the best interests of the organization. To complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR systems Education & Requirements: Minimum of Bachelor of Science Degree in Physical Therapy from...CmsFull timeTemporary workPart timeReliefLocal area
Evolve Therapy
Worcester, MA10 hours ago $50.97 - $78.69 per hour
...performance and compliance with patient safety initiatives, federal, state and other regulatory bodies such as Joint Commission, OSHA, CMS, DOPL, and other unit specific accrediting and certifying bodies. Facilitates use of resources by nursing staff such as nurse...CmsHourly payIntermountain Health
Worcester, MA14 hours ago$145k - $180k
...What You'll Lead Clinical Excellence Across the Region Standardize and elevate clinical practice across all centers Drive CMS Quality Measures, Five-Star performance, and survey readiness Lead regulatory compliance, risk mitigation, and recovery efforts...Cms- ...Information (PHI), as required by HIPAA and company policy. Comply with all guidelines established by the Centers for Medicare and Medicaid (CMS) and Massachusetts Department of Insurance (DOI) and guidelines set forth by other regulatory agencies, where applicable, and defined...CmsWork experience placementLocal areaFlexible hours
eternalHealth, The Next Generation of Medicare Advantage
Worcester, MA6 hours agonew $33 - $43 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...CmsDaily paidPart timeLocal areaMonday to FridayFlexible hoursShift workDay shiftHealthcare Services Group
Rochdale, MA3 days ago$50 - $60 per hour
...Performance Improvement Program designed to improve clinical outcomes and the patient experience. Responsible for maintaining compliance with CMS Conditions of Participation, the Joint Commission standards, COLA/CLIA standards and HIPAA Rules and Regulations. Functions as the...CmsWork experience placementVibra Healthcare
Rochdale, MA4 days ago- ...issues for users within teams, IT and or business partners Preferred knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) Demonstrated knowledge of process flow of UM including prior authorization, concurrent authorization, and/or clinical appeal and...CmsCasual workWork at officeRemote work
Optum
Worcester, MA2 days ago $96.22k - $173.18k
...timely manner. Documentation may include progress notes in the EHR, annual comprehensive medication reviews with written summaries in the CMS's standardized format, and patient specific documents, i.e., medication-related actions plans and personal medication records....CmsImmediate startRemote workRelocation packageMonday to FridayShift workDay shiftU Mass Memorial Health
Worcester, MA4 days ago- Summary: The Transitional Assistance Coordinator will assist Guardian Angel in service adults with developmental disabilities, individuals who are blind or visually impaired, and adolescents with brain injury. This position must be motivated by being an instrumental part...CmsWork experience placementCasual work
$135k - $145k
...and Local Coverage Determinations, Evidence of Coverage, Member Handbooks. Follow regulatory rules and processes for Massachusetts, CMS, Medicaid, state Connector programs. Consult with internal and external stakeholders as needed. Consult with providers. Participate...CmsLocal area- ...Assist with and participate in Quality Assurance Program as required. Complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR systems. Education & Requirements Associate's degree in physical therapy from an accredited program....CmsFull timeTemporary workPart timeReliefLocal areaRelocation packageShift work
$57k - $60k
...region. Brief Summary Of Purpose The Fallon Health (FH) Appeals and Grievance process is an essential function to FH compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and member expectations. The FH Member Appeals & Grievances...CmsWork experience placementWork at officeLocal areaFlexible hoursWeekend work2 days per week- ...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 hours
- ...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
Auburn, MA1 day ago $32 - $34 per hour
...clinical skills. Strong communication and documentation abilities. Familiarity with regulatory guidelines including Medicare, Medicaid, CMS, and JCAHO standards. Ability to work independently and as part of an interdisciplinary team. We Offer Compensation may vary within...CmsDaily paidFull timePart timeLocal area$36.06 per hour
...discharge summaries. Conduct case reviews and clinical audits to ensure quality and compliance. Ensure adherence to DPH, MassHealth/CMS, and accreditation standards, as well as agency policies. Clinical Oversight & Crisis Support Support clinicians in managing...CmsDaily paidFull timePart time- ...start one from scratch. How to get around Linux - the most popular platform for hosting web/mobile applications. Web frameworks and CMS's like Drupal and WordPress. Web, Mobile and Embedded software development, on Robotic interfaces or in the Cloud, depending on your...CmsInternshipSummer internshipWork at officeImmediate start
- ...processing, spreadsheets, and databases, as well as digital communications and graphics applications such as content management systems (CMS), Microsoft Office Suite, Adobe Creative Suite (Photoshop, Illustrator, InDesign), and presentation software (PowerPoint, Visio). ~...CmsWork at office
