- Baylor Scott & White Health (Buda, TX)
- …quality based on evidence, regulations, and data testing. + Identifies regional, system , and industry best practices, providing feedback to managers and team ... and data testing + Extensive knowledge of Texas, Joint Commission and CMS standards + Extensive knowledge of trends, developments, and research in providing… more
- Kelsey-Seybold Clinic (Houston, TX)
- …**Education:** Graduate from an accredited Physician Assistant (PA) or Nurse Practitioner (NP) master's program. **License and Certifications:** + Licensed ... of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024. Kelsey-Seybold has been… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Kelsey Seybold Clinic has a 24-hour call center and after-hours registered triage nurse to assist in patient care. **Education:** Graduate of an approved training ... of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024. Kelsey-Seybold has been… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Job Summary:** Kelsey-Seybold Clinic seeks a fulltime, energetic Nurse Practitioner needed for a busy Cardiology Practice. The NP will be supporting a particular ... cardiac and medical issues, outcomes, the role of the caregiver, and medication management . Hospital Responsibilities + Serve as physician extender in the hospital &… more
- CVS Health (Austin, TX)
- …of standard industry coding guides and guidelines, including CPT, HCPCS, ICD-10, CMS 1500, and UB04 data elements. + Maintains up-to-date coding knowledge, including ... and the ability to mentor and develop team members. + Registered Nurse (RN). + Previous experience with Behavioral Health coding/auditing of records. **Education:**… more
- HCA Healthcare (San Antonio, TX)
- …Orthopaedic Surgery **Job Summary:** Methodist Physician Practices is recruiting for Nurse Practitioners with First Assist Certification or Physician Assistants to ... **About Methodist Hospital - Stone Oak & Methodist Healthcare System :** + Where high-tech and high-touch come together +...together + 242-bed facility, 16 operating suites + 4-star CMS Rating, Overall Quality & Patient Safety Measures +… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with...determinations and, denial reason and trending as appropriate, Monitors CMS , managed care and payor communications for updates/alerts/releases and… more
- Baylor Scott & White Health (Mckinney, TX)
- …families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: ... including patient experience metrics. + Partner closely with clinical and system leadership to implement new programs, technologies and strategies to improve… more
- Texas Health Resources (Arlington, TX)
- …You Will Do** + Facilitates behavioral health transfers throughout the THR system and from other healthcare facilities. Documents cases accordingly and meets ... transfer times and referral guidelines. Relays clinical information and facilitates doctor/ nurse reviews. Aware of exclusionary criteria. Promotes the THR Behavioral… more
- HCA Healthcare (Lewisville, TX)
- …guide the team to ensure quality and integrity of care as well as aligning the Case Management staff to adhere to TJC and CMS regulations. It will entail being a ... their positions. Join our Team as a Supervisor Case Management and access programs to assist with every stage...needed. **What qualifications you will need:** + (RN) Registered Nurse license eligible to practice in the State of… more