- Molina Healthcare (Fort Worth, TX)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... vendor performance involving onshore and offshore resources, monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality… more
- Gentiva (Spring, TX)
- …* Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC) * Knowledge and compassion ... so, you could be the next Hospice Patient Care Manager on our team. At Gentiva Hospice, we believe...and clinical support to associates, supporting development, performance, and compliance * Ensure all care delivery meets federal, state,… more
- CenterWell (Houston, TX)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... navigating community-based resources **Preferred Qualifications** + Familiarity with state Medicaid guidelines and application processes preferred + Experience working… more
- UTMB Health (Galveston, TX)
- Manager , Coding & QA Clinical - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2504148 ... manages all coding activities related to clinical coding. The Manager of Coding ensures accurate and timely coding of...Cycle as well as throughout the institution to ensure compliance with all Federal and State-mandated billing and coding… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Milliman l criteria, initiates… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Millman l criteria, initiates… more
- HCA Healthcare (Round Rock, TX)
- …Do you want to join an organization that invests in you as a Manager Strategic Workflow Optimization? At Parallon, you come first. HCA Healthcare has committed up ... you have the opportunity to make a difference. We are looking for a dedicated Manager Strategic Workflow Optimization like you to be a part of our team. **Job… more
- Baylor Scott & White Health (Dallas, TX)
- …Benefits may vary based on position type and/or level **Job Summary** The Manager of Environmental Safety & Emergency Management will lead and oversee the ... and safety programs in their hospital(s). This critical leadership role ensures compliance with relevant regulatory bodies, with a particular emphasis on The Joint… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ... (SIU) to ensure compliance with coding practices through comprehensive record reviews for...medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in… more
- Humana (Austin, TX)
- …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... delivering successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design, data… more