- Houston Methodist (Houston, TX)
- …services following review of relevant medical documentation, medical guidelines, and insurance benefits and communicates information to payers in accordance with ... prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as...with the physician and all members of the interprofessional health care team to facilitate care and communication with… more
- CenterWell (Corpus Christi, TX)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** Humana's Primary Care Organization (PCO) is the...five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best… more
- Kelsey-Seybold Clinic (Houston, TX)
- …offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... and other diagnostic tests to assess patient problems and health care needs. The Care Manager may...rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive… more
- Gentiva (San Angelo, TX)
- …Nursing, Director of Clinical Operations, Home health administrator, Home health director, hospice branch manager , hospice branch director ReqID: 2025-130875 ... experienced healthcare professional with a background in hospice leadership, home health administration, or clinical operations management to make a meaningful… more
- CenterWell (Austin, TX)
- …Home Health preferred + Previous experience in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- Houston Methodist (Houston, TX)
- …coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/case manager of the patients' available benefits through insurance /managed care ... Communicates in an active, positive, and effective manner to all interprofessional health care team members. Reports pertinent patient care and family data in… more
- CenterWell (Austin, TX)
- …Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- Aveanna Healthcare (Dallas, TX)
- …Best Culture, and Best CEOby Comparably in 2024 Comprehensive Benefits Package + Health , Dental, Vision, and Company-paid Life Insurance + Paid Holidays, ... HR Salary: $40,000.00 per year Position Details Care Experience Manager (CEM) Join a Company That Puts People First!...work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all… more
- CenterWell (Austin, TX)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** The Care Delivery Call Quality Professional works...the Tele Sales Agents who are responsible for converting Medicare eligible callers to patients. The Care Delivery Call… more
- Gentiva (San Angelo, TX)
- …licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health , or clinical operations management. If you're a natural leader who is ... operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure… more