standards of care Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems Compensation...
where applicable (e.g., CMS touchpoints for Medicaid initiatives) by organizing materials, tracking commitments, and ensuring follow... documentation - Experience in Medicaid, CMS-facing initiatives, managed care environments, or health and human services programs...
to comply with all regulatory requirements, including CMS and Joint Commission Standards Must be able to functionally...
experience Demonstrated understanding of CMS Conditions of Participation, Joint Commission Standards and state licensing...
skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Assess and monitor... patients' continued appropriateness for SNF setting (as indicated) according to CMS criteria Complete all SNF continued stay...
the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy...
application of clinical criteria of medical policies Perform Department of Insurance/Department of Managed Healthcare, and CMS...
benefits or non-traditional services, operational workflows, and CMS coordination. Cross-program operational modernization... where applicable (e.g., CMS touchpoints for Medicaid initiatives) by organizing materials, tracking commitments, and ensuring follow...
requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
with technical writing, documentation tools, and content management systems (CMS) Strong understanding of engineering documentation...