Business Office Manager
Complete insurance forms per request Attend Utilization Review (UR) and/or PPS meeting as necessary Supervise, organize...
Complete insurance forms per request Attend Utilization Review (UR) and/or PPS meeting as necessary Supervise, organize...
regulations/guidelines pertaining to Long Term Care. Knowledge of Long-Term Care PPS in order to identify preliminary RUG...
sheets and other required paperwork Complete/participate in any and all PPS activities as directed by Supervisors...
. Knows, understands and effectively implements the Corporate Case Management and PPS Model. Prepares an Annual Operating...
. Regulatory Expertise: Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term care...
. Participating in the daily Medicare Prospective Pay System (PPS) Interdisciplinary Team Meeting (ITM). Establishing and maintaining...
plan conferences. Monitor and guide the completion of PPS and OBRA assessments. Manage the Utilization Review (UR...
for approximately $500 per month toward a PPS medical benefits plan PTO: Earned Paid Leave (EPL) provisions as per Maine law...
Specialist-OASIS (HCS-O), or Certification of OASIS Specialist-Clinical (COS-C) required Skills Proficiency in OASIS, PPS...
with contracted providers to identify service capacity and facilitate timely placements Support seamless transitions from CDS to PPS...