• Utilization Review Nurse - PRN

    Houston Methodist (Sugar Land, TX)
    …care indicators and criteria as approved by medical staff, payer guidelines, CMS , and other state agencies. This position prospectively or concurrently determines ... and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of care and… more
    Houston Methodist (08/20/25)
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  • CRA Testing Analyst

    Comerica (Dallas, TX)
    …makes recommendations of new or revised regulatory requirements in support of Compliance Management System ( CMS ) requirements. + Work collaboratively with ... respect to compliance with laws and regulations with direction and/or input from management . This includes ongoing guidance as well as assisting with the managing of… more
    Comerica (08/19/25)
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  • Front-End Developer

    Insight Global (Houston, TX)
    …of WordPress websites Designing and maintaining custom themes and templates. Managing content workflows and publishing within the CMS . Executing routine updates ... This position is perfect for someone with practical experience in WordPress CMS and modern front-end technologiesespecially Vue.js 3 and TypeScript. This person will… more
    Insight Global (08/19/25)
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  • Registered Nurse Pre-Transplant Coordinator (RN)…

    Houston Methodist (Houston, TX)
    …complex patients, receiving coaching from experienced Transplant Coordinators and management , benefiting from their practice. The Pre-Transplant Coordinator position ... hospital-based statistics and regulatory agencies, if applicable, such as OPTN/UNOS/ CMS /NMDP/CIBMTR/FACT, and Medicaid to ensure compliance with all government… more
    Houston Methodist (08/19/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Dallas, TX)
    …dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all blood spills are immediately ... slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The… more
    Fresenius Medical Center (08/16/25)
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  • Product Manager - Content Management

    JPMorgan Chase (Plano, TX)
    …**Job Responsibilities** Strategic & Platform Leadership + Architect and own the enterprise-wide content management product strategy, encompassing CMS , DAM, ... As a transformational digital product leader, you will lead our Content Management Platform Services within Global Banking, navigating the intersection of… more
    JPMorgan Chase (08/16/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician to ... and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. + Provide… more
    BAYADA Home Health Care (08/15/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to maintain ongoing ... coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations...a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing… more
    BAYADA Home Health Care (08/15/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Fort Worth, TX)
    …executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... Action Items (SAIs) including assisting and executing projects and tasks to ensure CMS and State regulatory requirements are met for pre-pay edits, post payment… more
    Molina Healthcare (08/14/25)
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  • Clinical Program Manager- Payment Integrity…

    Molina Healthcare (TX)
    …executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... **Job Qualifications** **REQUIRED QUALIFICATIONS:** + Experience demonstrating knowledge of CMS Guidelines, MCG, InterQual or other medically appropriate clinical… more
    Molina Healthcare (08/14/25)
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