- Houston Methodist (Houston, TX)
- …a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using ... nationally recognized acute care indicators and criteria as approved by medical staff, payer guidelines, CMS, and other state agencies. This position prospectively… more
- Fresenius Medical Center (Uvalde, TX)
- …**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans** ... vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions… more
- Fresenius Medical Center (Houston, TX)
- …**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans** ... nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal… more
- HCA Healthcare (San Antonio, TX)
- …and delivery of quality interdisciplinary home health care services. Will ensure compliance to federal /state standards and clinical best practices. **What you ... (with feedback from Quality Review Specialist) to ensure the medical records reflect compliance with medical...Two years of experience within a licensed and certified ( Medicare ) home health agency requiredCompetent in Federal … more
- CenterWell (Arlington, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists… more
- CenterWell (El Paso, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care..."on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend… more
- Humana (Austin, TX)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more
- Humana (Austin, TX)
- …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- CVS Health (Austin, TX)
- …body. + Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify and ... part in ensuring coding accuracy and data integrity, directly impacting compliance and financial performance. Ideal candidates will bring a strong understanding… more
- CenterWell (Alice, TX)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as anactive participant and… more