Medicare Jobs in Rochester
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MVP Health Care-Rochester
Associate, Medicare Appeal Coordinator
220 Alexander St, Rochester, NY 14607, USA • 625 State St, Schenectady, NY 12305, USA • Tarrytown, NY, USA Req #2319
Tuesday, January 21, 2025
At MVP Health Care, we're on a mission to create a healthier...
ElderWood-Rochester
of Medicare Skilled services regulations.
• Notify all providers, in writing, within 24 hours of resident status of eligibility for skilled services and changes.
• Ensure that written physician certification for skilled services per Medicare guidelines...
MVP Health Care-Rochester
management
• Knowledge of DSNP Medicare Operations and regulatory requirements.
• Knowledge of LTSS & MAP Operations and regulatory requirements.
• Experience in developing and tracking compliance metrics.
• Ability to lead and participate in committees...
Lifelancer-Rochester
Medicare and/or Quality Regulatory experience.
Experience with PIP, CCIPs and Quality Improvement Projects required.
Quality regulatory experience (QPMs, CMS, NCQA, Medicaid state programs).
Demonstrated use of PDSA/PDCA.
Application of Quality...
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MVP Health Care-Rochester
the health care delivery system, including but not limited to Medicaid and Medicare benefits.
• The overall objective is to create solutions to overcome barriers to care and assist members to achieve optimum health and/or improved functional capability through...
Interview Staff LLC-Rochester
Job Requirements:
• Current NYS RN license and registration
• Bachelors of Nursing degree preferred
• Minimum of one year experience in acute care or community health nursing
• Working knowledge of Medicare, Medicaid and NYS DOH standards...
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TeamHEALTH-Rochester
Gehrimed) meeting Medicare guidelines
Qualifications:
• Recent graduate candidates welcome to apply; cross training available for the right candidates
• Willing to train experienced candidates as well
• Board certified and licensed in New York
About...
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TeamHEALTH-Rochester
to professional development tools, educational resources and CME through the TeamHealth Institute
6. Paid professional liability insurance (including tail)
State of the art facility.
Island Eye is a New York State licensed and Medicare Certified Ambulatory...
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MVP Health Care-Rochester
Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).
• Conduct both individual and group outreach activities to present our innovative health care solutions on- and off-site at various events...
MVP Health Care-Rochester
of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).
• Conduct both individual and group outreach activities...
Doctor's Choice Placement Services, Inc-Rochester
monthly.
Payor Mix: Payor mix base is comprised of BlueCross of WNY, Medicare, Medicaid, and Independent Health. These four payers insure 70% of the patient population. All major insurance plans are accepted.
Competition: Significant shortage...
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Bon Secours Mercy Health-Rochester
coordinates more effective and efficient care for more than 200,000 patients, saving money for taxpayers through the Medicare Shared Savings program.
#J-18808-Ljbffr...
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