- CenterWell (Corpus Christi, TX)
- …* Knowledge of HEDIS measures and quality indicators * Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated ... care environment in a value-based relationship environment \#nursepractitionercareers \#physicianassistantcareers \#LI-KB2 **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Houston Methodist (The Woodlands, TX)
- …service focus and application of positive language principles + Knowledge of Medicare , Medicaid and Managed Care requirements + Progressive knowledge of community ... resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs + Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement… more
- Houston Methodist (Houston, TX)
- …discharge planning, progression of care, documentation of improvement, and Medicare Conditions of Participation. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a ... safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/ licensing… more
- Texas Health Resources (Bedford, TX)
- …elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of Non-Coverage). ... As a highly reliable organization stays up to date and complies with all applicable regulations with the operating systems, entity and system policies and procedures. Maintains customer service and/or productivity guidelines set forth by applicable leadership.… more
- Cardinal Health (Austin, TX)
- …supply chains across public and private sectors, specifically including Medicare DMEPOS reimbursement landscape. + Comprehensive communication and negotiating skills ... adept at all levels of C-suite manufacture leadership (Supply Chain, Operations, Finance, Clinical-Pharmacy). + Proven leadership capabilities, including ability to manage diverse personalities/skill sets in a changing environment. + Strong contract management… more
- Elara Caring (Tyler, TX)
- …supervisory experience in a healthcare setting + Working knowledge of Medicare /Medicaid, home care benefits, and applicable state policies and procedures preferred ... + Excellent computer and communication skills, with ability to work in fast-paced environment + Passion for patient care + Reliable transportation to perform job responsibilities You will report to the Coordination Team Lead, Branch Director, or Alternate… more
- Gentiva (Austin, TX)
- …of palliative medicine principles, home health, hospice care eligibility, and Medicare /Medicaid regulations. + Familiarity with the interdisciplinary care process. + ... Meets mandatory continuing education requirements for Gentiva and licensing boards. + Proficient in point-of-care software and technology. **Education/Experience:** + Master of Science in Nursing from an accredited school of nursing (or equivalent per state… more
- UTMB Health (Galveston, TX)
- …informationrequiredfor third party reimbursement. + Ensures compliance with Medicare andthird-partycoverage. + Communicates with patient, referral source, UTMB ... physician and clinical staffregardingany obstacle to access or authorization. **Salary Range:** Actual salarycommensuratewith experience or range if discussed and approved by the hiring authority. **Equal Employment Opportunity** UTMB Health strives to provide… more
- Sedgwick (Houston, TX)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... of directions in a professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers… more