Case Management and Medicare

Selected news for the healthcare topic - Case Management, and the healthcare topic - Medicare. We have 239 shared news items for this connection to-date.

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4/28/2022 Utilization Review Nurse – ArcMed Analytics and Services – Los Angeles, CA ... case management experience required- Experience with Medicaid, Medicare, Commercial and Managed Care preferredCompetencies, Knowledge and Skills: Basic data entry skills and internet utilization skills Knowledge of Microsoft Outlook, Word, Excel- Communication Skills; written and verbal- Ability to work independently and within a team environment- Decision making/problem solving skills- Experienced in using MCG / InterQual GuidelinesLicensure and Certification:- Current, unrestricted LPN / RN/Therapist licensure is requiredREQUIREMENT :- IMMEDIATE FOR ...
4/22/2022 Utilization Review Nurse – ArcMed Analytics and Services – New York, NY ... case management experience required- Experience with Medicaid, Medicare, Commercial and Managed Care preferredCompetencies, Knowledge and Skills: Basic data entry skills and internet utilization skills Knowledge of Microsoft Outlook, Word, Excel- Communication Skills; written and verbal- Ability to work independently and within a team environment- Decision making/problem solving skills- Experienced in using MCG / InterQual GuidelinesLicensure and Certification:- Current, unrestricted LPN / RN/Therapist licensure is requiredREQUIREMENT :- IMMEDIATE FOR ...
4/6/2022 Alignment Healthcare Expands Roles for Executives Dawn Globe Newswire ORANGE, Calif., Alignment Healthcare (NASDAQ: ALHC), a tech-enabled Medicare Advantage company, today announced the expanded roles for two executive team members ‚Ai Dawn Maroney and Dinesh Kumar, M.D. The organizational updates support future expansion ... company‚Aos operations and technology infrastructure, in addition to leading case management, clinical delivery, member services and provider operations.‚AuOur team is focused on scaling our senior-first vision and developing new approaches to advance ...
4/6/2022 ALIGNMENT HEALTHCARE INC (ALHC) Alignment Healthcare Expands Roles for Executives Dawn Maroney and Dinesh Kumar to Support Market Expansion ... it scales to serve more seniors across U.S.ORANGE, Calif., April 06, 2022 (GLOBE NEWSWIRE) -- (NASDAQ: ALHC), a tech-enabled Medicare Advantage company, today announced the expanded roles for two executive team members ‚Ai and ... company‚Aos operations and technology infrastructure, in addition to leading case management, clinical delivery, member services and provider operations.‚AuOur team is focused on scaling our senior-first vision and developing new approaches to advance ...
4/6/2022 Alignment Healthcare Expands Roles for Executives Dawn Maroney and Dinesh Kumar to Support Market Expansion ... serve more seniors across U.S.ORANGE, Calif., April 06, 2022 (GLOBE NEWSWIRE) ‚Ai Alignment Healthcare (NASDAQ: ALHC), a tech-enabled Medicare Advantage company, today announced the expanded roles for two executive team members ‚Ai Dawn ... company‚Aos operations and technology infrastructure, in addition to leading case management, clinical delivery, member services and provider operations.‚AuOur team is focused on scaling our senior-first vision and developing new approaches to advance ...
4/5/2022 Billing Specialist – Legacy Health Services – Corporate – Grafton, OH ... case management or social work. Medicaid experience important.:As the Corporate Billing Coordinator you will assist the Skilled Nursing Facilities Business Office with their billing and reimbursement rules and regulations relating to long-term care.Responsibilities include:- Knowledge of; Medicare, Medicaid, managed Care, COB, Workers comp and CO-insurance billing- Identifying and resolving unpaid claims- Identifying Payor Source through the Insurance Portals- Proficient in; MS Office Word, Email, Excel, Internet ...
4/5/2022 Lexington Medical Center Nursing Home ... medicare to have a rating of 1 out of 5 stars. Lexington medical center extended care. Get directions in google maps.Exceptional Staff And Advanced Therapy To Help You Recover And Return Home.Click here genuine concern case management, personal counseling, activity programs, and more. Nursing homes in lexington, ky that accept medicaidbrittany davis south carolina december 31, 2020. Nursing home inspect » north carolina » lexington health care center ...
4/5/2022 Nurse Practitioners ‚Äì In Home Health Assessments ‚Äì Brooklyn, NY ‚Äì Medigence Health ‚Äì Brooklyn, NY Medigence Health provides Health Risk Assessments for Medicare, Medicaid, and Commercial Marketplace members/patients of primary care physicians, medical groups, and health plans we serve. The Physician/Nurse Practitioner, will perform comprehensive assessments which are ... Identify and refer members/patients for routine, urgent, and emergent case management.¬∑ Make recommendations for member‚Aos follow-up with their primary care physician ...
4/2/2022 Licensed Practical Nurse (LPN) – Healogics, Inc – Hackensack, NJ ... Medicare and Medicaid Services (CMS) guidelines, as applicable.Licensed Practical Nurse (LPN) Job Responsibilities:Under the direction of the RN/Provider, provides wound-related patient care according to Basic Life Support (BLS) and approved and hospital protocols, Policies & Procedures.Assist in vein clinic as assigned after Healogics Vein Clinic training completed.May assist with intake and discharge.May provide assistance with case management under the direction of RN, in accordance ...
3/16/2022 Coalition Members Meet Virtually with the Office of Senator Kaine ... the office of Senator Tim Kaine (D-VA) to discuss the better service, better access to care, and better value Medicare Advantage delivers.Coalition member Barbara shared her experience working for an electronic health company ... to highlight her satisfaction with the preventive care coverage and case management support. ‚AuI have a call with my case manager every month. Having access to real people is fantastic,‚Au she said.Richmond City ...
3/4/2022 The Centers for Medicare and Medicaid Services (CMS) Awards $154 Million Contract Extension to CoventBridge (USA), Inc. ... continues through July 18, 2026.Over the past 5 years, CoventBridge has excelled in performing program integrity services for both Medicare and Medicaid in the 11-state jurisdiction, conducting data analytics, investigations, and medical review ... top-tier data privacy and security practices while deploying robust case management technology customized to clients‚Ao needs. CoventBridge Group is SOC 2 Type II certified and HIPAA compliant, offering secure internal controls ensuring compliance ...
2/27/2022 MDS Coordinator – vArida-Tech Inc – Tuscumbia, AL ... Set (MDS) and the Care Area Assessments (CAAs). Key responsibilities are to: Manage the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within ... Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management preferred Experience with basic computer technology To protect the health and safety of our patients, residents, employees, family members, and the communities we ...
2/27/2022 MDS Coordinator – vArida-Tech Inc – New Martinsville, WV ... Set (MDS) and the Care Area Assessments (CAAs). Key responsibilities are to: Manage the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within ... Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management preferred Experience with basic computer technology To protect the health and safety of our patients, residents, employees, family members, and the communities we ...
2/14/2022 Financing Assisted Living ... Medicare does not cover the cost of assisted living facilities, says Roxanne Sorensen, an aging life care specialist and owner of Elder Care Solutions of WNY in Rochester, New York, a case management consultancy.‚AuMedicare does not pay for any form of assisted living. It only pays for rehab in a nursing home for the first 100 days. After that, there‚Aos no more assistance from the government unless you ...
1/30/2022 Nurse Practitioners- In Home Health Assessments- Cedarburg, WI ‚Äì Medigence Health ‚Äì Cedarburg, WI Medigence Health provides Health Risk Assessments for Medicare, Medicaid, and Commercial Marketplace members/patients of primary care physicians, medical groups, and health plans we serve. The Physician/Nurse Practitioner, will perform comprehensive assessments which are ... Identify and refer members/patients for routine, urgent, and emergent case management.¬∑ Make recommendations for member‚Aos follow-up with their primary care physician ...
1/27/2022 Utilization Review Analyst ‚Äì Utilization Management ‚Äì Part Time ‚Äì Woman's Hospital ‚Äì Baton Rouge, LA ... case management, and discharge planning. Performs various duties assigned by department management according to policies and procedures and the mission of Woman‚Aos Hospital. This position pays shift differentials.Job Knowledge:Must have knowledge of computer software such as MS Office, McKesson Care Enhance Review Manager, and Milliman Care Guidelines Software, knowledge of ICD-9-CM and coding is preferred. Knowledge of Louisiana Bayou Health plans and Medicare/Medicaid guidelines ...
1/11/2022 Case Management Definition Article Sources[editorial policy.]AJ Case Management. " [Different models of case management in nursing, care & rehabilitation] ." Accessed Jan. 11, 2022.Commission for Case Manager Certification. " [What you need to know about eligibility before you apply for the CCM¬Æ Exam ‚Ai Fast Facts!] " Accessed Jan. 11, 2022.Centers for Medicare&Medicaid Services. " [MEDICAID DEFINITION OF COVERED CASE MANAGEMENT SERVICES CLARIFIED] ." Accessed Jan. 11, 2022 ...
10/3/2021 Care Manager RN ‚Äì Work from Home ‚Äì Florida ‚Äì CVS Health ‚Äì Tampa, FL ... models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges ... They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member‚Aos overall wellness. Fundamental Components Develops a proactive ...
9/30/2021 California Appellate Court Rules Federally Qualified Health Center Outreach Expenses Don't Qualify For Cost-Based Reimbursement ... Medicare Economic Index (MEI). In California, FQHC Medi-Cal reimbursement is 100 percent of reasonable and allowable costs for Medi-Cal services rendered to Medi-Cal beneficiaries. Many services provided by FQHCs are not covered by Medi-Cal, such as case management, translation, transportation, and other services (Supplemental Services). Under Section 330 of the Public Health Service Act, the Health Center may provide Supplemental Services, including (1) services designed to ...
9/2/2021 Input sought by Oct. 1 on Medicaid waivers for Oregonians receiving long-term services and supports ... Medicare and Medicaid Services (CMS) and seeks input on these applications from the public by Oct. 1, 2021. The waivers, which will be submitted by the ODHS Office of Aging and People with Disabilities through the Oregon Health Authority, serve individuals who meet Oregon‚Aos nursing facility level of care and Medicaid eligibility criteria. The first waiver, APD 1915(c) 0185 Aging and Physically Disabled Waiver , will enable case management ...
9/2/2021 SC Johnson Makes Donation To Aid Local HIV Patients ... Medicare and Medicaid Services in the country. Its nationally renowned HIV Medical Home fully integrates health and social services to achieve some of the best clinical quality outcomes known to humankind. Its patients and clients have unfettered access to medical and dental care, mental health therapy and drug treatment, and pharmacy services along with a myriad of programs to overcome social determinants of health including case management, housing, food services ...
8/25/2021 One Day Online Healthcare Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond, November 8, 2021 - ResearchAndMarkets.com Yahoo News DUBLIN, August 25, 2021 --( BUSINESS WIRE )--The "Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond!" training has been added to ResearchAndMarkets.com's offering.This intense one-day program will give ... has utilization management, transitional planning and compliance.The Centers for Medicare and Medicaid Services (CMS) has incorporated changes that impact on payments related to readmissions, length of stay and cost of care. Who is in ...
8/25/2021 One Day Online Healthcare Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond, November 8, 2021 - ResearchAndMarkets.com | Business Wire Business Wire DUBLIN--( BUSINESS WIRE )--The "Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond!" training has been added to ResearchAndMarkets.com's offering.This intense one-day program will give you the skills ... has utilization management, transitional planning and compliance.The Centers for Medicare and Medicaid Services (CMS) has incorporated changes that impact on payments related to readmissions, length of stay and cost of care. Who is in ...
8/25/2021 One Day Online Healthcare Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond, November 8, 2021 - ResearchAndMarkets.com Business Wire DUBLIN--(BUSINESS WIRE)--Aug 25, 2021-- The "Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond!" training has been added to ResearchAndMarkets.com 's offering. This intense one-day program will ... has utilization management, transitional planning and compliance. The Centers for Medicare and Medicaid Services (CMS) has incorporated changes that impact on payments related to readmissions, length of stay and cost of care. Who is in ...
8/25/2021 One Day Online Healthcare Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond, November 8, 2021 ‚Äì ResearchAndMarkets.com | Financial Buzz The ‚AuCase Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond!‚Au training has been added to ResearchAndMarkets.com‚Aos offering.This intense one-day program will give you the skills to ... has utilization management, transitional planning and compliance.The Centers for Medicare and Medicaid Services (CMS) has incorporated changes that impact on payments related to readmissions, length of stay and cost of care. Who is in ...