The NP will maintain high standards of integrity and business ethics. Minimum Qualifications • ... Medicaid programs • Minimum of 5 years nursing experience; clinical nursing care in oncology ...
The NP will maintain high standards of integrity and business ethics. Minimum Qualifications • ... Medicaid programs • Minimum of 5 years nursing experience; clinical nursing care in oncology ...
Clinical Data Integrity Analyze service records for completeness, accuracy, and compliance with ... The primary objective is to develop a Standard Operating Procedure (SOP) for each program, which ...
Clinical Data Integrity Analyze service records for completeness, accuracy, and compliance with ... The primary objective is to develop a Standard Operating Procedure (SOP) for each program, which ...
Director of Business Operations - EDWP
Atlanta, GA · On-site
$75K - $113K/yr
Deep understanding of Medicaid waiver programs and managed care principles. * Strong knowledge of ... Respect and Integrity * Excellence * Stewardship * Care Compensation & Benefits: * $75,000 - $113 ...
Quick apply
Director of Business Operations - EDWP
Atlanta, GA · On-site
$75K - $113K/yr
Deep understanding of Medicaid waiver programs and managed care principles. * Strong knowledge of ... Respect and Integrity * Excellence * Stewardship * Care Compensation & Benefits: * $75,000 - $113 ...
... Medicaid Services (CMS), and EGWP policies and procedures. Manage operational efficiencies ... integrity and compliance. * Relationship management skills to build and maintain a positive ...
... Medicaid Services (CMS), and EGWP policies and procedures. Manage operational efficiencies ... integrity and compliance. * Relationship management skills to build and maintain a positive ...
Clinical Data Integrity • Analyze service records for completeness, accuracy, and compliance with ... The primary objective is to develop a Standard Operating Procedure (SOP) for each program, which ...
Clinical Data Integrity • Analyze service records for completeness, accuracy, and compliance with ... The primary objective is to develop a Standard Operating Procedure (SOP) for each program, which ...
Compassion, Integrity, Loyalty, and Commitment. We pride ourselves on providing a culture for our ... Knowledge of Medicaid, waiver programs, community-based services, and healthcare coordination.
Compassion, Integrity, Loyalty, and Commitment. We pride ourselves on providing a culture for our ... Knowledge of Medicaid, waiver programs, community-based services, and healthcare coordination.
Compassion, Integrity, Loyalty, and Commitment. We pride ourselves on providing a culture for our ... Knowledge of Medicaid, waiver programs, community-based services, and healthcare coordination.
Compassion, Integrity, Loyalty, and Commitment. We pride ourselves on providing a culture for our ... Knowledge of Medicaid, waiver programs, community-based services, and healthcare coordination.
Compassion, Integrity, Loyalty, and Commitment. We pride ourselves on providing a culture for our ... Knowledge of Medicaid, waiver programs, community-based services, and healthcare coordination.
Compassion, Integrity, Loyalty, and Commitment. We pride ourselves on providing a culture for our ... Knowledge of Medicaid, waiver programs, community-based services, and healthcare coordination.
Senior Medical Economics Analyst
Atlanta, GA · On-site
$84K - $112K/yr
Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference ... Own development of methodologies for program evaluation, performance normalization, and predictive ...
Senior Medical Economics Analyst
Atlanta, GA · On-site
$84K - $112K/yr
Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference ... Own development of methodologies for program evaluation, performance normalization, and predictive ...
Senior Medical Economics Analyst
Atlanta, GA · On-site
$84K - $112K/yr
Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference ... Own development of methodologies for program evaluation, performance normalization, and predictive ...
Senior Medical Economics Analyst
Atlanta, GA · On-site
$84K - $112K/yr
Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference ... Own development of methodologies for program evaluation, performance normalization, and predictive ...
Social Worker/Case Manager
Thomasville, GA · On-site
$42K - $52K/yr
Social Services Program Coordinator/Assistant Director Job Type: Fulltime Location: Thomasville ... Ethical Practice Upholds the highest standards of integrity, confidentiality, and respect. Adheres ...
Social Worker/Case Manager
Thomasville, GA · On-site
$42K - $52K/yr
Social Services Program Coordinator/Assistant Director Job Type: Fulltime Location: Thomasville ... Ethical Practice Upholds the highest standards of integrity, confidentiality, and respect. Adheres ...
Gapp Coordinator
Milledgeville, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
New
Gapp Coordinator
Milledgeville, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
New
Gapp Coordinator
Grovetown, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
Quick apply
Gapp Coordinator
Grovetown, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
Gapp Coordinator
Milledgeville, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
New
Quick apply
Gapp Coordinator
Milledgeville, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
New
Gapp Coordinator
Grovetown, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
Gapp Coordinator
Grovetown, GA · On-site
$50K/yr
Operating in truth, integrity, and transparency PUNCTUALITY: Arriving on time, starting on time ... Stay up-to-date on Medicaid state-funded programs and regulations, as well as home care services ...
Director of Business Operations - EDWP
Atlanta, GA · On-site
$75 - $113/hr
Deep understanding of Medicaid waiver programs and managed care principles. * Strong knowledge of ... Respect and Integrity * Stewardship * Care * Medical, Dental, Vision, and Life Insurance * 403(b) ...
Director of Business Operations - EDWP
Atlanta, GA · On-site
$75 - $113/hr
Deep understanding of Medicaid waiver programs and managed care principles. * Strong knowledge of ... Respect and Integrity * Stewardship * Care * Medical, Dental, Vision, and Life Insurance * 403(b) ...
Manager of Pharmacy Business and Medication Access - Full Time Day - Augusta
Augusta, GA · On-site
$90 - $130/hr
... integrity, and contract compliance. Core Responsibilities and Essential Functions: Manages the ... Provides primary oversight for the AUMC 340B Program by staying abreast of all state Medicaid and ...
New
Manager of Pharmacy Business and Medication Access - Full Time Day - Augusta
Augusta, GA · On-site
$90 - $130/hr
... integrity, and contract compliance. Core Responsibilities and Essential Functions: Manages the ... Provides primary oversight for the AUMC 340B Program by staying abreast of all state Medicaid and ...
New
Physical Therapist - Home Health
Douglasville, GA · On-site
$40.25 - $51.75/hr
Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are ... Comply with Medicare, Medicaid, and insurance regulations * Drive to patient homes and work ...
Physical Therapist - Home Health
Douglasville, GA · On-site
$40.25 - $51.75/hr
Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are ... Comply with Medicare, Medicaid, and insurance regulations * Drive to patient homes and work ...
Benefits Nav Generalist
Atlanta, GA · On-site
Supports strategic relationships within the community to promote program growth, including ... Georgia Medicaid Waivers. * Public Benefits including SNAP, TANF, Housing Vouchers. * Computer ...
Benefits Nav Generalist
Atlanta, GA · On-site
Supports strategic relationships within the community to promote program growth, including ... Georgia Medicaid Waivers. * Public Benefits including SNAP, TANF, Housing Vouchers. * Computer ...
Career and Transition Support Facilitator, Exceptional Student Education
Mcdonough, GA · On-site
$55 - $70/hr
SSI, State Medicaid Waiver programs. * Facilitate presentations to school and community groups ... Exceptional integrity, commitment to confidentiality, excellent character, and strong professional ...
Career and Transition Support Facilitator, Exceptional Student Education
Mcdonough, GA · On-site
$55 - $70/hr
SSI, State Medicaid Waiver programs. * Facilitate presentations to school and community groups ... Exceptional integrity, commitment to confidentiality, excellent character, and strong professional ...
Medicaid Program Integrity information
What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?
| Aspect | Medicaid Program Integrity | Medicaid Claims Examiner |
|---|---|---|
| Primary Focus | Detecting and preventing fraud, waste, and abuse in Medicaid programs | Reviewing and processing Medicaid claims for accuracy and compliance |
| Required Credentials | Typically healthcare or compliance certifications, knowledge of Medicaid policies | Healthcare or claims processing certifications, attention to detail |
| Work Environment | Regulatory agencies, government offices, compliance departments | Insurance companies, healthcare providers, government Medicaid offices |
Medicaid Program Integrity professionals focus on safeguarding Medicaid funds by identifying fraudulent activities, while Medicaid Claims Examiners primarily verify claims for accuracy and proper coding. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work settings.
What are popular job titles related to Medicaid Program Integrity jobs in Georgia?
For Medicaid Program Integrity jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Integrity jobs in Georgia look for?
The top searched job categories for Medicaid Program Integrity jobs in Georgia are:
What cities in Georgia are hiring for Medicaid Program Integrity jobs?
Cities in Georgia with the most Medicaid Program Integrity job openings:
Other
Re-posted 2 days ago
Trinity Health rating
6.6
Based on 354 frontline employees who took The Breakroom Quiz
572nd of 898 rated healthcare providers
Job description
Employment Type:
Part time
Shift:
Description:
The Contingent Hospice Nurse Practitioner serves as a primary level care provider under the clinical supervision of the Hospice Medical Director.
The NP (Nurse Practitioner) will make face-to-face assessments of hospice patients in a variety of settings under all levels of hospice care.
The NP will collaborate with the members of the IDT (Interdisciplinary Team) to assess client eligibility for hospice and provide interventions as required for pain and symptom management.
The NP demonstrates expertise in patient care. The NP may serve as a liaison with other hospice referral sources, providing consultation when necessary. The NP will maintain high standards of integrity and business ethics.
Minimum Qualifications
• Graduate of an approved Nursing education program
• Master’s Degree in nursing
• Certified/licensed as a Nurse Practitioner in state in which practicing
• CPR Certification Required.
• DEA License in State in which practicing, if required
• Must have full (non-restricted) primary active medical staff membership at local Trinity Hospital, and remain in good standing with appropriate clinical privileges
• In good standing/able to participate in the Medicare & Medicaid programs
• Minimum of 5 years nursing experience; clinical nursing care in oncology, hospice, geriatrics, intensive care preferred
• Exhibits strong communication and interpersonal skills, with a special emphasis on grief/loss management.
• Must have current Driver’s license and reliable transportation to and from work site.
Other benefits
-
Opportunity for growth
-
Mileage reimbursement
-
Comprehensive orientation
-
St. Mary’s Home Care and Hospice is located in Athens, GA and is a member of Trinity Health at Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy, and medical social work), hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!
Apply now!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
What Trinity Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Trinity Health
Sourced by ZipRecruiter
Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US