- Fedcap (Carrollton, TX)
- **Flexible & partially remote schedule** What You'll Do As a CLASS Case Manager you will provide comprehensive case management services to individuals enrolled in ... the Community Living Assistance Support Services (CLASS) Medicaid Waiver program, administered by the Texas Department of...of automobile insurance for travel throughout the North Texas area to provide services to clients. The Fedcap Group… more
- Molina Healthcare (TX)
- …credentialing/recredentialing details for monthly/quarterly/semi-annual turnaround time reports to Medicaid agencies as required + Active collaborator with people ... business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with… more
- Centene Corporation (Austin, TX)
- …**Hybrid/Remote - Seeking candidates residing near the Wichita Falls, TX area or surrounding counties.** **Position Purpose:** Develops, assesses and coordinates ... and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers… more
- Genesis Healthcare (TX)
- …with some travel to the centers in NM. Within a defined geographic area , the Clinical Reimbursement Lead models the MDS process and capability standards providing ... professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to travel as this… more
- Houston Methodist (Katy, TX)
- …Confers with Billers, as necessary, to obtain additional information/clarification. + Informs manager of payer trends or any problems or changes in payor ... knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid , Workers Comp, Commercial plans, etc.; knowledge of how to interpret a… more
- Kelsey-Seybold Clinic (Houston, TX)
- …medical and nursing care for patients with complex care needs. The Care Manager - Nurse Practitioner assesses the physical and psycho-social condition of patients by ... or problem-focused physical examinations and medical histories. The Care Manager orders, collects, interprets, and evaluates laboratory and other diagnostic… more
- Houston Methodist (Houston, TX)
- …and provides support to other team members as advised by the manager and/or supervisor. Resolves routine insurance billing inquiries and problems within departmental ... Identifies claim processing issues and general billing trends. Notifies supervisor and/or manager regarding trends to avoid further delay in claims processing. +… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …to the agency's Chief of Staff and supervised by the Women Veterans Program Manager for VA North Texas Healthcare System. The SW MCC coordinates maternity care for ... and the need for other non-VA payment options (eg, Medicaid ) to be in place to cover any newborn...practice clinical licensure and should be in a specialized area of social work practice of which, one year… more
- Houston Methodist (Houston, TX)
- …training, and provides support to other team members as advised by the Manager and/or Supervisor. + Identifies denial trends and notifies Supervisor and/or ... Manager to prevent future denials and further delay in...the subject matter expert with all payers, including Medicare, Medicaid and commercial payers, and applicable department's revenue cycle… more
- Houston Methodist (Houston, TX)
- …for hospital-based statistics and regulatory agencies such as UNOS/UNET, CMS, and Medicaid in order to ensure proper department financial management. + Contributes ... Nurse Leader (CNC) + * CNML - Certified Nurse Manager and Leader (AACN) + * CNML - Certified...department**_ + May require travel within the Houston Metropolitan area No + May require travel outside Houston Metropolitan… more