on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid. As a member of the care... with the Care Manager, Social Worker, and other interdisciplinary team members. This role involves evaluating member needs...
services. Review orders and documentation for Medicare and payer compliance. Collaborate with RNs and clinical... to prevent SOC delays. Clinical Review & Compliance Conduct clinical review to determine appropriateness for home health...
instruction, and delegating tasks to the Account Manager, Call Center, Benefits Admin, wellness and iCAF and any team member... by Benefits Operations Manager. Primary Contact with the Client Responsible for adherence to MMA Benefit Timeline Checklist...
coordinator and supervision of all clinical functions. Maintains compliance with federal and state regulations... as they apply to the provision of home health visits to clients. Assure compliance with agency policy and procedures. Monitor...
coordinator and supervision of all clinical functions. Maintains compliance with federal and state regulations... as they apply to the provision of home health visits to clients. Assure compliance with agency policy and procedures. Monitor...
partnerships The Program Director or Program Manager is responsible for the management and the strategic growth of the Wound Care.../performance improvement, and community education. The Program Director/Program Manager is also responsible for maintaining...
purposes. Participates in CPI program. Maintains compliance, is knowledgeable, and utilizes the guidelines of all state.../Patient Centered Medical Home (NCQA-PCMH), Centers for Medicare and Medicaid Services (CMS), Clinical Laboratory Improvement...
have been met Accurately completes the Medicare Secondary Payor (MSP) form as appropriate Initiates Pathway Compliance Advisor...) 1. Office Supervisor → 2. Office Manager → 3. Practice Administrator → 4. Director of Radiology 5. Vice-President...
have been met Accurately completes the Medicare Secondary Payor (MSP) form as appropriate Initiates Pathway Compliance Advisor...) 1. Office Supervisor → 2. Office Manager → 3. Practice Administrator → 4. Director of Radiology 5. Vice-President...
as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines... that Patient Safety Guidelines are followed, that Healogics employees complete all annual requirements, including compliance...
: $65,000.00 - $70,000.00 per year Position Details Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People... development team. Ensure compliance with State, Federal, Local, and Aveanna policies and procedures. Qualifications...
ensures compliance with Medicare, Medicaid, commercial insurance requirements, HIPAA, state EMS regulations, and CareFlite... van. Job Description Position Summary The Billing Auditor plays a critical role in ensuring the accuracy, completeness, and compliance...
ensures compliance with Medicare, Medicaid, commercial insurance requirements, HIPAA, state EMS regulations, and CareFlite... van. Job Description Position Summary The Billing Auditor plays a critical role in ensuring the accuracy, completeness, and compliance...
. Direct care coordinator and supervision of all clinical functions. Maintains compliance with federal and state regulations... as they apply to the provision of home health visits to clients. Assure compliance with agency policy and procedures. Monitor...
. Direct care coordinator and supervision of all clinical functions. Maintains compliance with federal and state regulations... as they apply to the provision of home health visits to clients. Assure compliance with agency policy and procedures. Monitor...
. Direct care coordinator and supervision of all clinical functions. Maintains compliance with federal and state regulations... as they apply to the provision of home health visits to clients. Assure compliance with agency policy and procedures. Monitor...
to clients in compliance with regulations. Supervise clinical staff performance and ensure adherence to agency policies... communication and interpersonal relations to achieve desired outcomes. Collaborate closely with Manager of Intake/Auth to meet...
. Direct care coordinator and supervision of all clinical functions. Maintains compliance with federal and state regulations... as they apply to the provision of home health visits to clients. Assure compliance with agency policy and procedures. Monitor...
for Medicare and payer compliance. Collaborate with RNs and clinical leadership on admissions and care planning. Identify... and escalate compliance or eligibility concerns as needed. Collaboration & Leadership Partner with the Operations Manager...
. Direct care coordinator and supervision of all clinical functions. Maintains compliance with federal and state regulations... as they apply to the provision of home health visits to clients. Assure compliance with agency policy and procedures. Monitor...