- Aveanna Healthcare (Corpus Christi, TX)
- …Position Details Position: Clinical Supervisor (RN) $5,000 SIGN ON BONUS Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of ... children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements in… more
- Molina Healthcare (El Paso, TX)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...+ 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis,… more
- Humana (Austin, TX)
- …Provide quality of care reviews, as needed o Work with Specialty Quality Manager on annual quality work plan o Chair quarterly Specialty Quality Improvement ... industry issues preferred o Knowledge and experience in Medicare and Medicaid dental programs preferred **Additional Information** o The Dental Director conducts… more
- Houston Methodist (Katy, TX)
- …Confers with Billers, as necessary, to obtain additional information/clarification. + Informs manager of payer trends or any problems or changes in payor ... knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid , Workers Comp, Commercial plans, etc.; knowledge of how to interpret a… more
- Providence (TX)
- …as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 ... + Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy. + Set strategic and performance… more
- Evolent (Austin, TX)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... + Responsible to escalate risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department standards as directed by… more
- Kelsey-Seybold Clinic (Houston, TX)
- …medical and nursing care for patients with complex care needs. The Care Manager - Nurse Practitioner assesses the physical and psycho-social condition of patients by ... or problem-focused physical examinations and medical histories. The Care Manager orders, collects, interprets, and evaluates laboratory and other diagnostic… more
- HCA Healthcare (Austin, TX)
- …processes and staffing issues to the Patient Access Supervisor or Patient Access Manager . You will also provide assistance to staff level employees as necessary to ... order supplies according to budget guidelines and department needs + Assists Manager and/or Supervisor in creating staff schedules and ensures adequate coverage +… more
- HCA Healthcare (Conroe, TX)
- …Specialists (CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and services + Ensures ... Review Tool [C-PART)) + Coordinates activities in conjunction with the Coding Manager and SSC Education staff related to the development, education, training, and… more
- Houston Methodist (Houston, TX)
- …and provides support to other team members as advised by the manager and/or supervisor. Resolves routine insurance billing inquiries and problems within departmental ... Identifies claim processing issues and general billing trends. Notifies supervisor and/or manager regarding trends to avoid further delay in claims processing. +… more