- Humana (Austin, TX)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient… more
- Texas Health Resources (Arlington, TX)
- …system? We're looking for qualified candidates like you to join our Texas Health family._ **Work location:** Texas Health Arlington Memorial 800 W. Randol ... . Obtain/verify physician order for therapy and validate for appropriateness. . Review available medical records and obtain pertinent medical history from therapist… more
- Humana (Austin, TX)
- …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , DME, skilled nursing facility and waiver requests. The Medical ... management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Customer Success Agent is responsible for member retention through active engagement with ... position requires you to have a current and valid Health Care Sales License in your current state of...business demands (see additional details below under Work At Home Requirements) + 2+ years of experience working in… 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 ...Advisor in Government Services you will be directly supporting Medicare Part D members and providers with requests related… more
- Methodist Health System (Dallas, TX)
- …degree or two years college with credit hours in Business Administration, Health Care Administration, or related field Or High school diploma or equivalent ... claims, and billing correspondence. Knowledgeable with payors; Managed Care, Commercial, Medicare , and Medicaid Strong leadership skills with experience in team… more
- CenterWell (San Antonio, TX)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as an active participant and key source ... part of our caring community and help us put health first** The Primary Care Physician (PCP) works as...Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- BrightSpring Health Services (San Antonio, TX)
- …and meeting the needs of our clients in a variety of settings such as Home Health , Hospice, Residential and Private Duty. If your passion is outstanding patient ... living, adult host homes for adults regardless of disability, behavioral/mental health support, in- home pharmacy solutions, telecare and remote support,… more
- Aveanna Healthcare (Houston, TX)
- …- $75,000.00 per year Position Details Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking for caring, ... prescriptions, screening for nutrition risk, conducting nutrition assessments, conducting Medicare reviews, working formula calculations, providing nutrition followup and… more
- Humana (Austin, TX)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation).… more
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