4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care...
informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid...
Medicare, Medicaid, CMS, and JCAHO standards. Ability to work independently and as part of an interdisciplinary team...
, predictable, consistent attendance and is flexible to meet the needs of the agency Follows all MCO, Medicare, Medicaid, and HIPAA...
4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care...
-hospital/ED follow up with appropriate escalation. Familiarity with Medicaid, Long-term Care, and HCBS programs. Experience...
of hospice principles, Medicare/Medicaid regulations, and best practices Ability to conduct thorough patient assessments...
more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA...
regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful Interest...
, Medicaid, and HIPAA regulations and requirements Abides by all regulations, policies, procedures and standards Performs... regulations (Medicare, Medicaid, commercial Ability to read and interpret EOBs, remittances, and denial codes Effective payer...