• Patient Care Manager

    Gentiva (Spring, TX)
    …a mentor, trainer, and clinical support to associates, supporting development, performance, and compliance * Ensure all care delivery meets federal , state, and ... * Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) * Knowledge and compassion… more
    Gentiva (08/08/25)
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  • Neonatal Nurse Practitioner- Department…

    UTMB Health (Webster, TX)
    …plan of care that encompasses evidence-based practice guidelines, practice protocols, Medicare , Medicaid, and other state and federal regulations. + ... health care services to high-risk newborns and infants who need intensive medical attention due to low birth weights, prematurity, infections, congenital anomalies,… more
    UTMB Health (08/14/25)
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  • Nurse Practitioner, Internal Medicine-Geriatrics

    UTMB Health (Galveston, TX)
    …plan of care that encompasses evidence-based practice guidelines, practice protocols, Medicare , Medicaid, and other state and federal regulations. + ... the Geriatric Medicine providers and under approved protocols, manages the medical aspects of care in the observation, assessment, diagnosis, intervention,… more
    UTMB Health (06/14/25)
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  • Case Manager - Full Time - Days - Emergency…

    Houston Methodist (The Woodlands, TX)
    …Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial ... and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use, appropriate level… more
    Houston Methodist (08/20/25)
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  • Charge Nurse-RN or LVN-Multiple Shifts

    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 regulations. ESSENTIAL FUNCTIONS: 1. Follow established standards of...Document daily notes on unstable residents/change in resident condition, Medicare residents and recently admitted residents 31. Be responsible… more
    STG International (07/30/25)
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  • Senior Credentialing Operations Manager

    CVS Health (Austin, TX)
    …issues. + Manages operational aspects of the team (eg, budget, performance, and compliance ), and implements workforce and succession plans to meet business needs. + ... of 3 years managing/leading a team. + Experience working in Medicare , Medicaid, or Commercial Health Insurance. **Preferred Qualifications** + Experience working… more
    CVS Health (08/21/25)
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  • Physician - Community Based Clinics, Value Based…

    UTMB Health (Friendswood, TX)
    …care practices, adult and pediatrics, with the responsibility for ensuring that medical practice meets the standards of the institution. The Community Based Clinic ... key stakeholders in program development to ensure effective implementation, compliance , and contractual arrangements to fulfill regulatory requirements, communication,… more
    UTMB Health (07/19/25)
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  • Bilingual Referral Coordinator

    CenterWell (Mcallen, TX)
    …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Experience with Payor Portals + Proficient with Microsoft Office ... including Microsoft Word, Excel and Outlook + Proficient with medical terminology + Experience with Electronic Medical ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    CenterWell (08/30/25)
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  • Utilization Management Administration Coordinator…

    Humana (Austin, TX)
    …for all employees, starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + ... preferably within a managed care organization + Proficient utilizing electronic medical record and documentation programs + Proficient and/or experience with … more
    Humana (08/23/25)
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  • Referral Coordinator

    CenterWell (San Antonio, TX)
    …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Experience with Payor Portals + Proficient with Microsoft Office ... including Microsoft Word, Excel and Outlook + Proficient with medical terminology + Experience with Electronic Medical ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    CenterWell (08/22/25)
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