- Gentiva (Pasadena, TX)
- …+ Establish and maintain standards of high quality care and customer service in compliance with federal and state regulations and guidelines + May provide ... professional nursing care to patients as prescribed by the MD/NP and in compliance with regulations by the State Board of Registered Nursing and company policies… more
- Humana (Austin, TX)
- …**Role Responsibilities** + Assess, plan, coordinate, implement, monitor, and evaluate medical / behavioral health services required to meet the complex health ... Experience in Acute inpatient hospital case management. + Experience with Medical /Behavioral Health Case Management Programs. + Direct or Indirect Military… more
- Texas Health Resources (Arlington, TX)
- …required elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of ... navigational skills, with attention to details. . Proficient computer skills, medical terminology, Epic, Microsoft Office, and assorted software programs. . Exhibits… more
- CenterWell (Austin, TX)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... medication, develops and implements nursing care plans, and maintains medical records. + May advise patients on health maintenance...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- UTMB Health (Galveston, TX)
- …* Obtains and documents required for third party reimbursement. * Ensures compliance with Medicare and third-party coverage. * Communicates with patients, ... in customer service and patient care, by coordinating clerical and medical activities of a healthcare team, patient registration activities and facilitating… more
- BrightStar Care (Austin, TX)
- …care, safety, and communications. Be willing to travel within an established radius. Assure compliance with all local, state and federal laws and regulations Why ... or on the basis of disability or any other federal , state or local protected class. Job Type: PRN...Type: PRN Pay: * $115.00 per visit/hour for OASIS ( Medicare ) SOC/IA and Recerts. * $95.00 per visit/hour for… more
- UTMB Health (Angleton, TX)
- …Obtains and documents information required for third party reimbursement. . Ensures compliance with Medicare and third-party coverage. . Communicates with ... in customer service and patient care, by coordinating clerical and medical activities of a healthcare team, patient registration activities and facilitating… more
- CenterWell (Austin, TX)
- …hospital or mail order pharmacy practice environment + Ability to participate in Federal prescription programs + Ability to work independently and within a team ... + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in managed care… more
- UTMB Health (Galveston, TX)
- …+ Obtains and documents informationrequiredfor third party reimbursement. + Ensures compliance with Medicare andthird-partycoverage. + Communicates with patient, ... in customer service and patient care, by coordinating clerical and medical activities of a healthcare team, patient registration activities, andfacilitatingaccess to… more
- Prime Healthcare (Dallas, TX)
- …Fraud, Waste and Abuse laws and regulations, along with the Medicare /Medicaid Conditions of Participation, physician/physician group contracting, Medical ... of hospital business operations and considerations.5. Experience with healthcare regulatory compliance matters. Preferred qualifications: 1. Minimum of 5 years of… more