- Cardinal Health (Austin, TX)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- HCA Healthcare (Webster, TX)
- …case management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring ... Case Management functions + Coordinates with RN case manager and social worker for support...patient, including having the Patient Choice letter signed. Monitors Medicare patient's planned discharge dates and delivers the Important… more
- Houston Methodist (Houston, TX)
- …and coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/managed ... At Houston Methodist, the Case Management Representative position is responsible for providing...Assists the department in distributing required notices, including the Medicare Notice of Discharge to patients, securing signatures on… more
- Cardinal Health (Austin, TX)
- …benefit investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, ... preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred + Important to have a strong attention to detail **TRAINING AND WORK… more
- Houston Methodist (Houston, TX)
- …- Licensed Medical Social Worker - State Licensure within 1 year **AND** + CCM - Certified Case Manager within 1 year **OR** + ACM - Accredited Case ... Manager (NBCM) within 1 year **OR** + ACM - Accredited Case Manager (ACMA) within 1 year **OR** + ACM - Accredited Case Manager within 1 year **OR** +… more
- HCA Healthcare (Conroe, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager RN you want in your current role? We invest in what matters most to ... Nurses at HCA Houston Healthcare Conroe! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
- BAYADA Home Health Care (Austin, TX)
- …for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to ... is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager ... provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information… more
- Molina Healthcare (Dallas, TX)
- …preferred. Proficient knowledge of MS Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume environment, possess ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (TX)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Molina Healthcare (San Antonio, TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area;...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in… more