- Elevance Health (Grand Prairie, TX)
- …10 million lives. **How you will make an impact:** + Supports Employee Assistance Program (EAP) service department by responding to initial customer contacts and ... and substance use disorder management, a comprehensive employee assistance program , work/life support, specialty programs for autism and depression,...request for services ; receives client request, assesses situation, determines appropriate course… more
- Medtronic (Houston, TX)
- …practice through; + Providing product and therapy technical support and service + Including consultation of strategic management and analysis of trends ... business planning/consulting and territory financial analysis; preferred knowledge of managed care + Experience with Physiology/clinical therapies + Experience with… more
- ASM Global (El Paso, TX)
- ASM GLOBAL, the leader in privately managed public assembly facilities, has an excellent and immediate opening for a Part-time Temporary Project Coordinator . This ... role provides essential support to the Ecotourism & Cultural Heritage Manager and contributes to the planning, coordination, and execution of cultural heritage… more
- Houston Methodist (Houston, TX)
- …orders and special request concerning each patient. Coordinates with case manager to escalate cases. + Demonstrates teamwork by awareness department activities, ... care team members. Facilitates bed issue resolution when conflicts arise. ** SERVICE ESSENTIAL FUNCTIONS** + Oversees patient placement in appropriate beds based… more
- Molina Healthcare (Fort Worth, TX)
- …National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and ... self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work hours: Monday - Friday… more
- Robert Half Accountemps (Dallas, TX)
- …of 1974 and the Health Information and Portability Act (HIPAA). * Works with Manager and Compliance Committee to ensure Compliance Program is followed. * ... of claim within 45 days from the date of service . Perform appeals for underpaid claims or claim denials...claims or claim denials as assigned by the Billing Manager . Procure payment or establish payment arrangements with patients… more
- Molina Healthcare (Dallas, TX)
- …supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or ... and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care. + Applies appropriate… more
- CenterWell (San Antonio, TX)
- …of senior-focused primary care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager , CenterWell is focused on ... 6 years in a physician office, health care, or managed care environment + Certified Medical Coder with one...environment and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (San Antonio, TX)
- …of senior-focused primary care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager , CenterWell is focused on ... and management oversight of the Primary Care Organization's Stars Program in the Rio Grande Valley market. The Quality...+ Bachelor's Degree in Nursing + 3+ years of managed care experience + 3+ years of case management… more
- Cayuse Holdings (Wichita Falls, TX)
- …Savings Plan with matching after one year + Paid Time Off **Reports to: Program Manager ** **Working Conditions:** + Professional office environment. + Ability to ... reading and engagement. + Coordinate the student reading incentive program and present recognition awards. + Add new students...to the library system and maintain membership records. + Managed all DLI ALC testing equipment and inventory of… more