- Molina Healthcare (San Antonio, TX)
- …Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. + Analyzes ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- AdventHealth (Mansfield, TX)
- …policies and procedures and ensures quality patient care and regulatory compliance . Actively participates in outstanding customer service and accepts responsibility ... AND EXPERIENCE REQUIRED:** Associates Degree Nursing or RN Diploma degree Registered Nurse (RN) Two (2) years of medical/hospital nursing experience This facility is… more
- Elevance Health (Houston, TX)
- …investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities ... **Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud… more
- Houston Methodist (Houston, TX)
- …of timely scheduling, balancing and reporting for departments, partnering with the nurse staffing leadership. This position performs daily staffing to fill nursing ... communicates and distributes reports to leadership for determining productivity, ensuring compliance with scheduling and time and attendance policies by both… more
- Baylor Scott & White Health (Dallas, TX)
- …liability and entitlement to benefits. + Confirm applicable coverage. Maintain compliance with ERISA plan document, insurance policies, and procedure manuals. Take ... parties. + Maintain communication with doctors, attorneys, safety specialists, nurse specialists, and vendors. Provide prompt, economical, and professional handling… more
- BrightSpring Health Services (Corpus Christi, TX)
- …meetings + Demonstrating fiscal accountability by monitoring operations to ensure compliance with Company policies and procedures, state licensure and regulations, ... school/college with current registration of practice as a Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and… more
- Baylor Scott & White Health (Dallas, TX)
- …an emphasis on providing patient-centered care. + Guide and teach your team. Ensure compliance with regulations. + You are expected to apply Lean methods to enhance ... (3) three years of relevant experience in the nursing field + Registered Nurse + Have Basic Life Support and Advanced Cardiovascular Life Support accreditation. Or,… more
- Baylor Scott & White Health (College Station, TX)
- …III NICU designation in Brazos Valley. Additionally, we have achieved the American Nurse Credentialing Center Magnet Designation. This is a hospital that works for ... geriatric. Able to provide services timely, accurately, and cost-efficiently in compliance with established system and regulatory standards, policies and procedures.… more
- Texas Health Resources (Benbrook, TX)
- …process is efficient and all clinic and regulatory policies are in compliance . . Answers phone calls and directs them appropriately. . Schedules appointments ... Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe… more
- Methodist Health System (Dallas, TX)
- …training documents. Duty 3: Work in collaboration with physician, pharmacy, nurse leadership/champions and other health informatics teams in a positive, constructive ... and efficient manner. Duty 4: Monitor billing accuracy, compliance issues, and structure. Ensures data integrity through interaction with financial and outcomes… more