- HCA Healthcare (Austin, TX)
- …home for Georgetown families + 100 Top Community Hospital by Fortune Merative, a CMS Five-Star rating and Leapfrog "Grade A" Hospital Safety scores The charming town ... of Georgetown is just 30 minutes north of downtown Austin. Georgetown has earned a reputation for having the "Most Beautiful Town Square in Texas." It hosts a variety of events and festivals throughout the year. Georgetown's Downtown Historic District includes… more
- Humana (Austin, TX)
- …health first** The Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) contributes to overall cost reduction by utilizing code editing ... + Exceptional understanding of Centers for Medicare & Medicaid Services ( CMS ) guidelines, state Medicaid guidelines, correct coding initiatives, national benchmarks,… more
- Texas State University (San Marcos, TX)
- …Job Duties Website + Email Management + Responsible for managing and updating content on THRC websites through the university's CMS . + Create and upload ... requirements of the position. + Demonstrated experience producing digital media content (video, audio, photography) for websites, social media, or marketing… more
- Evolent (Austin, TX)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... maintenance of a strong quality program and adherence to State, Federal, CMS , Accreditation (NCQA and/or URAC), and contractual requirements. Adherence to the… more
- Highmark Health (Austin, TX)
- …range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in ... active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case management … more
- Highmark Health (Austin, TX)
- …+ Ensure adherence to call center turn around time requirements associated with DPW/ CMS regulations. + Take necessary steps to perform a complete and accurate ... + Populate all authorization and denial information fields within the OnBase information system . + Enter all authorizations into the Argus IPNS information system… more
- CenterWell (Austin, TX)
- …document all activity within clinic EMR and other required pharmacy or clinical management systems, and support CMS Stars quality measures for successful clinic ... treatment plan development, patient and provider consultation in the management of chronic disease states (cardiovascular, respiratory, endocrine, behavioral… more
- System One (Frisco, TX)
- …insurance carriers; post payments, adjustments, and refunds accurately in the billing system . + Maintain current knowledge of payer policies, coding guidelines, and ... improve revenue capture. + Ensure all billing activities comply with HIPAA, CMS , and payer-specific regulations. + Identify trends and recommend process improvements… more
- Bloom Healthcare (San Antonio, TX)
- …homebound population, and Bloom Healthcare has generated outstanding quality results in CMS Innovation Center models compared to our peers. At Bloom Healthcare, we ... to work. Job Summary: Bloom Healthcare, a Colorado leader in population health management , home-based primary care, and hospice, is seeking a hospice nurse to join… more
- Texas Health Resources (Arlington, TX)
- …and methods necessary for a high-performance culture related to care transition management . Utilizes change management techniques to facilitate leader and staff ... activities of the Care Transition Managers (RN & SW). Serves as a content expert on the following: Compliance with program expectations Mitigation activities with… more