- CenterWell (Edinburg, TX)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...computer skills, including email and EMR **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Beaumont, TX)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Texas Health Resources (Arlington, TX)
- …organization remains compliant and proactive. Strategic Planning Assistance - Support the Director in developing the annual work plan to strengthen compliance and ... Support & Case Review - Conduct additional reviews to assist departments handling Medicare , OIG, or non- Medicare denials. Provide expert analysis on coding,… more
- Cognizant (Austin, TX)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a... Medicare , Medicaid, and third-party guidelines. . Effectively document and… more
- HCA Healthcare (San Antonio, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Molina Healthcare (Fort Worth, TX)
- …and financial results, and keeps executive leadership apprised. * Collaborates with the chief medical officer and medical director team to develop and ... and effective manner. * Develops initiatives to achieve budgeted reductions in medical expenses and increases in quality scores. * Develops health care services… more
- Gentiva (Athens, TX)
- …Care RN Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will play a vital role in maintaining a high-performing ... Manage clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility, insurance verification, and patient benefit tracking +… more
- Danaher Corporation (Dallas, TX)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and… more
- Cardinal Health (Austin, TX)
- …and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine ... services and/or hospital (technical) services. This position will also support the Director with transactional audit diligence and integration planning, as well as… more
- STG International (Temple, TX)
- …population 13. Counsel Nursing Assistants and recommend disciplinary action to the Director of Nursing Service, when necessary 14. Comply with community processes ... administration 19. Promptly report changes in residents' conditions to the physician, Director of Nursing Service and responsible party, and take follow-up action as… more