- CenterWell (Austin, TX)
- …care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
- Elevance Health (Houston, TX)
- …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group ... (DRG) methodology, including case rate and per diem, generating highly complex audit...where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and Hospital Acquired Conditions (HACs), Preventable… more
- Select Medical (Lakeway, TX)
- …**Registered Nurse (RN) - Full Time** **Night Shift** **7pm-7am** Inpatient Rehabilitation **Salary Range:** $32-$48 per hour **$15,000 Sign-on Bonus** ... a successful transition. New Grad/New Hire mentorship program for clinical skills, Manager mentorship programs for new and emerging leaders + **Elevate Your… more
- Baylor Scott & White Health (Dallas, TX)
- …function of Baylor Scott and White Health (BSWH), which may include case management, social services, coordination of patient care, patient access, utilization ... and discharge planning. Directs the management and analysis of case management and comprehensive care of patients to improve...larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors… more
- HCA Healthcare (Corpus Christi, TX)
- …with discharge planning or psychosocial needs. + You will obtain input from the RN case manager to ensure the discharge plan is appropriate and aligns with the ... you will do in this role:** + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to… more
- Datavant (Austin, TX)
- …RVU assignment, modifiers, and knowledge of NCCI edits. Chart mix includes both inpatient and outpatient. Epic 3M360 systems.** **What You Will Do:** + Review ... + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Catholic Health Initiatives (Sugar Land, TX)
- …Of Science Nursing and At least five (5) years of nursing experience., upon hire + Certified Case Manager , upon hire and + Accredited Case Manager , upon ... team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. + Collaborates with the… more
- ChenMed (Houston, TX)
- …a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation ... and reduced hospital readmissions **CORE RESPONSIBILITIES:** + Provides excellent inpatient and outpatient cardiovascular care as well as, care coordination,… more
- Select Medical (Dallas, TX)
- …Knowledge of managed care and physical rehabilitation + Experience in marketing to inpatient providers and case managers in the Dallas-Fort Worth area. ... key role in growing referrals for our Dallas-area Day Neuro Program and Inpatient Rehab Hospitals. The successful candidate will build new and improve existing… more
- Molina Healthcare (Dallas, TX)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding,… more