Knowledge of CMS regulations jobs

Case Management Extender - Adult (Days)

OU Health · Posted Nov 11, 2026

Open

Oklahoma City, Oklahoma, United States
On-site
Full-time · Associate
0–5 years

Case Management Extender - Adult (Days)

OU Health · Posted Nov 11, 2026

Open

Oklahoma City, Oklahoma, United States
On-site
Full-time · Associate
0–5 years

Revenue Integrity Specialist

North Florida Surgeons, P.A. · Posted Nov 12, 2026

Open

Jacksonville, Florida, United States
3–5 years

Apply with RefersoAI Apply on careers page

Responsible for ensuring accuracy, compliance, and optimization of charge capture, coding, billing, and reimbursement processes across the organization.

Responsibilities

Conduct routine charge reconciliation and charge capture audits
Investigate and resolve charge exceptions and revenue leakage opportunities
Analyze billing edits, claim denials, and reimbursement variances
Review charge master and fee schedule accuracy
Monitor service line charging practices

Requirements

Associate's degree required
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred
Nice to have: CPC
Nice to have: CPB
Nice to have: CPMA

Skills

Advanced Excel Reporting capabilities Analytical skills Problem-solving skills Communication skills Presentation skills

Director, Bereavement Services

Chapters Health System · Posted Oct 15, 2026

Open

Temple Terrace, Florida, United States
$85K–$133K per year
8+ years

Apply with RefersoAI Apply on careers page

Compensation

Compensation Pay Range: $85,270.05 - $133,234.45

Responsibilities

Represents the Bereavement Counselors on an enterprise level
Serves as a Subject Matter Expert, helps to establish best standards of practice for Bereavement Counselors and Bereavement Services on an enterprise level
Provides oversight, evaluates and revises the practices, policies and procedures for each discipline
Manages competencies, orientation and ongoing training materials for Bereavement; facilitates learning activities for staff and students
Develops and monitors KPIs to ensure that Programs are meeting goals and objectives

Requirements

Master's Degree in Social Work, counseling, marriage & family therapy or related field
Nice to have: Hospice experience
Nice to have: LCSW license
Nice to have: LMHC license
Nice to have: LMFT license

Skills

Social Work Counseling Supervision Program Development

Care Management Extender - Ambulatory - Family Medicine Center

OU Health · Posted Nov 6, 2026

Open

Oklahoma City, Oklahoma, United States
0–5 years

Apply with RefersoAI Apply on careers page

Provide non-licensed clerical and administrative support to RN and SW Case Managers in ambulatory clinics, facilitating care coordination, referrals, and documentation.

Compensation

competitive wages and total rewards package

Responsibilities

Assist RN/SW Care Manager in arranging care coordination needs
Communicate with alternate level of care liaisons to identify accepting facilities
Arrange and/or assist with referrals for home care services
Ascertain resources and assist in making timely arrangements (transport, food, lodging)
Arrange or assist with durable medical equipment needs

Requirements

High School Diploma or GED

Skills

Basic Life Support from the American Heart Association Working knowledge of medical systems Knowledge of medical terminology Knowledge of CMS regulations Knowledge of payment systems

Senior Process Improvement Professional

Humana · Posted Nov 5, 2026

Open

Remote, United States
Remote
Full-time · Senior
$78K–$108K per year
3+ years

Apply with RefersoAI Apply on careers page

The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements across D-SNP operations.

Compensation

$78,400 - $107,800 per year

Responsibilities

Lead end-to-end process improvement initiatives across D-SNP operations.
Analyze operational workflows, identify root causes, and recommend sustainable solutions.
Partner with business stakeholders, IT, compliance, claims, enrollment, customer service, and clinical teams.
Develop business requirements, process maps, and future-state operational designs.
Monitor and improve key performance indicators (KPIs), service levels, quality metrics, and compliance outcomes.

Requirements

Bachelor’s degree in business, Healthcare Administration, Industrial Engineering, or related field
Nice to have: enrollment
Nice to have: eligibility
Nice to have: claims
Nice to have: care management

Skills

Experience supporting Dual Eligible Special Needs Plans (D-SNP)Medicare Advantage Medicaid

Case Management Extender - Adult (Days)

Case Management Extender - Adult (Days)

Compensation

Responsibilities

Requirements

Skills

Benefits

Revenue Integrity Specialist

Responsibilities

Requirements

Skills

Director, Bereavement Services

Compensation

Responsibilities

Requirements

Skills

Care Management Extender - Ambulatory - Family Medicine Center

Compensation

Responsibilities

Requirements

Skills

Senior Process Improvement Professional

Compensation

Responsibilities

Requirements

Skills

Benefits

Benefits