- CenterWell (Austin, TX)
- …of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- Fresenius Medical Center (Olmito, TX)
- …and workflow to deliver high quality of patient care + Ensure compliance of state requirements and licensure updates including understanding of CLIA requirements, ... equipment + Ensure proper medical records management and HIPAA compliance + Oversees the continuous and data driven Quality...the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws.… more
- Fresenius Medical Center (Olmito, TX)
- …and workflow to deliver high quality of patient care . Ensure compliance of state requirements and licensure updates including understanding of CLIA requirements, ... equipment . Ensure proper medical records management and HIPAA compliance . Oversees the continuous and data driven Quality...the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws.… more
- Molina Healthcare (Fort Worth, TX)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of...experience in related job. + 2 years minimum in Director level role or above. + Extensive understanding of… more
- CVS Health (TX)
- …an exciting opportunity to join it's CVS Health's leadership team as a Director , Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role, ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market… more
- HCA Healthcare (San Antonio, TX)
- …of the organization and meets the requirements or regulations of JACHO, Medicare , Medicaid, and appropriate licensing or certified boards. The supervisor is ... a therapist in the specific discipline of the supervisor. 4. Ensures Compliance with the conditions of participation, requirements or regulations of the following:… more
- AdventHealth (Mansfield, TX)
- …Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision ... responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation… more
- Gentiva (Woodville, TX)
- …needs. You will work autonomously in collaboration with the Palliative Medical Director , delivering exceptional care and guiding patients and families through every ... of treatment. **Responsibilities:** + Collaborate with the Palliative Medical Director and care team to deliver comprehensive, patient-centered palliative care.… more
- STG International (Temple, TX)
- …nursing care for residents by implementing specific procedures/programs and being in compliance with all STGi policies and procedures, state regulations and federal ... population 13. Counsel Nursing Assistants and recommend disciplinary action to the Director of Nursing Service, when necessary 14. Comply with community processes… more
- Gentiva (Austin, TX)
- …+ Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion ... Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery… more