- Humana (Austin, TX)
- …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , ...quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will… more
- HCA Healthcare (Georgetown, TX)
- …you find this opportunity compelling, we encourage you to apply for our Medicare Specialist opening. We promptly review all applications. Highly qualified ... individual is recognized. Submit your application for the opportunity below: Medicare Specialist Parallon **Benefits** Parallon, offers a total rewards package that… more
- Humana (El Paso, TX)
- **Become a part of our caring community and help us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health ...by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
- Humana (Austin, TX)
- … first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
- Guidehouse (San Antonio, TX)
- …TX offices and three days from home ._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer ... Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term &… more
- BAYADA Home Health Care (Austin, TX)
- …Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and ... and OASIS review . + Knowledge of OASIS, Home Care and Medicare regulations + Excellent...from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health… more
- BAYADA Home Health Care (Austin, TX)
- …consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As an accredited, regulated, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician… more
- HCA Healthcare (Austin, TX)
- …health , public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding ... public nursing or acute hospital nursing experience Familiar with Medicare home health regulations, documentation...we encourage you to apply for our PRN RN Home Health opening. We review … more