working with regulatory standards (e.g. CMS, Joint Commission) Experience in committee membership and participation EEO/M...
/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline...
platforms, primarily through a custom Content Management Systems (CMS) and Learning Management Systems (LMS). This role supports... the Education teams in both administrative and technical aspects of CMS by creating curriculum, deploying, and maintaining...
, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. Functions as the first line interface with customers...
forth by state and accrediting agencies of TJC and CMS. Knowledge of clinical operations and procedures, and utilizes...
/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline...
denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS... and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State...
launch. Stay ahead of regulatory and payer trends (CMS rules, MA and risk adjustment, value-based care, interoperability...
etc. Print cash and/or comp vouchers from CMS, reprint player cards from CMS, issue pin code numbers from CDS, enroll new players...
of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions Possess a working knowledge...