Search Results: 176 vacancies
$36.46 - $46.88 per hour
...professional manner with patients, health professionals and maintain patient confidentiality.
Acts as a patient advocate in utilizing Medicare, MediCal, Health Plan and community resources.
Participates in Departmental Quality Assurance activities and Utilization...
Suggested
Full time
Shift work
$52 - $55 per hour
...Prepares and administers medications and performs treatments as ordered by the physician.
Documents all pertinent data as required by Medicare, Medicaid and company standards and policies.
Counts all controlled drugs with other nurse at shift change and notifies the...
Suggested
Immediate start
Relocation bonus
Shift work
Night shift
...Clinical Operations Policies & Procedures Manual on a yearly basis and adhere to the policies and procedures set forth.
Complete all Medicare compliance trainings as required by regulations and/or Company policies.
Complete Occupational Safety and Health Administration...
Suggested
Work experience placement
Relocation bonus
Shift work
Day shift
...information.
* Maintain regular, predictable, consistent attendance and is flexible to meet the needs of the department.
* Follow all Medicare, Medicaid, and HIPAA regulations and requirements.
* Abide by all regulations, policies, procedures, and standards.
* Perform...
Suggested
Daily paid
Local area
Remote job
Flexible hours
...care pharmacy, including licensing and credentialing knowledge, PBM and Prime Vendor Agreement contracting, LTC operations, billing (Medicare/DME/Medicaid/Private), and pricing for new customers. The role requires strong interpersonal skills and the ability to thrive in a...
Suggested
$62k - $157k
...Approval from The Joint Commission for meeting rigorous performance standards in delivering quality, safe care
CMS - Center for Medicare & Medicaid Services Certified
Health Plan of San Mateo Preferred Partner
Kaiser Permanente Preferred Partner
Dignity...
Suggested
Holiday work
Full time
Part time
Remote job
Flexible hours
...knowledge of EDIFECS and Healthcare Payer experience is a MUST.
Must have Health Payer experience - such as health plan providers, Medicare, and Medicaid that set service rates, collect payments, process claims, and pay provider claims.
Looking forward to hearing...
Suggested
Contract work
Remote job
1 day per week
...Knowledge and understanding of applicable local, state, federal and other health care regulations and requirements - e.g., TJC, Medi-Cal, Medicare.
Demonstrated leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others...
Suggested
Full time
Local area
Shift work
Weekend work
Monday to Friday
...regulatory issues; maintains basic commercial regulatory files; develops and facilitates marketing materials; and prepares and submits Medicare/commercial marketing materials to federal and state regulators. This person has direct, daily contact with CCHP and Chinese...
Suggested
Local area
...Hospital readmission rates for 21st Century HHS are consistently under 10% while the industry average is over 15%. We have the highest Medicare classification rating of 5-stars, based on a set criteria determining excellence.
All Opportunities at 21st Century require you...
Suggested
Local area
...Hospital readmission rates for 21st Century HHS are consistently under 10% while the industry average is over 15%. We have the highest Medicare classification rating of 5-stars, based on a set criteria determining excellence.
All Opportunities at 21st Century require you...
Suggested
Local area
$33.85 - $44.27 per hour
...Coordinates exchange of information between Kaiser, families, members and skilled nursing facilities.
Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations.
Assist in coordinating communication between regional offices, clinics,...
Suggested
Full time
Temporary work
Work experience placement
Shift work
...Vocational Rehabilitation (VR) agencies to focus on identifying any/all available work incentives, including programs that extend Medicare/Medicaid coverage while the individual achieves a greater level of independence.
Encourage a collaborative team approach to include...
Suggested
Local area
Weekend work
Afternoon shift
...designated territory of coverage with a set amount of patients
- Home Health contracts with SHC require previous experience with OASIS/Medicare Certified Visits
We know that at-home health care is a very different environment and requires specialized knowledge and...
Suggested
Hourly pay
Full time
Contract work
Part time
Local area
Immediate start
Work from home
Currently hiring
...Hospital readmission rates for 21st Century HHS are consistently under 10% while the industry average is over 15%. We have the highest Medicare classification rating of 5-stars, based on a set criteria determining excellence.
All Opportunities at 21st Century require you...
Suggested
Local area
Flexible hours
...and community resources.
Knowledge of County, State and Federal requirements for documentation and reporting, including MediCal/MediCare standards, CPT codes, etc.
Bilingual/Bicultural and fluent in Spanish or Asian languages highly preferred, but not required....
Local area
...Hospital readmission rates for 21st Century HHS are consistently under 10% while the industry average is over 15%. We have the highest Medicare classification rating of 5-stars, based on a set criteria determining excellence.
All Opportunities at 21st Century require you...
Local area
Immediate start
...setting. Working knowledge of lnterQual IS-SI, Milliman and Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part A and Part B, Medi-Cal, NCQA, HEDIS and other criteria as identified by the Quality/Case Management Department. Working...
...patients, maintaining accurate records, following recommendations from physicians and clinical supervisors. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations....
...education provider unit as a Nurse Planner; utilizes Board of Registered Nursing (BRN), The Joint Commission and CMS (Centers for Medicare and Medicaid Services) criteria to assess needs, plan, implement and evaluate continuing nursing education activities. 15. Participates...
Full time
