RN Case Manager
. Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid...
. Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid...
and evaluation program performed by an RN or LPN prior to providing services *Other training, as required by SCDHHS and/or Medicaid...
management Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements Reviews quality referred...
to participate in all private and federally funded insurance programs (Required) Medicaid provider...
use on Medicare, Medicaid, HMO, PPO or commercial products. Performs proper system search to secure a medical record number or assign...
documentation within an electronic health record ensuring to meet applicable regulations including for CARF, Licensure, and Medicaid...
to commencing employment and once employed must not be considered an “Excluded Party†as defined by the Medicare and state Medicaid... or Medicaid funding. In addition, at all times, during your employment, all associates must be in compliance with certain laws...
, benefits and creatrs price estimates, reverifications as needed (ex; first of the month reverifications for managed Medicaid...
for compliance with the Joint Commission (TJC) and Center for Medicare & Medicaid Services (CMS) standards. The incumbent...
Able to identify variances surrounding HCPCs, CPTs, ICD-10 preferred Experience with Medicare and Medicaid preferred...