- BAYADA Home Health Care (Austin, TX)
- …for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to ... Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review… more
- STG International (Temple, TX)
- …a period not to exceed thirty days. Familiar with Reimbursement system of Medicare , Medicaid & Case Management Preferred Skilled Nursing Facility Experience as ... an MDS Nurse CMAC certification or completion within 30 days of hire and renewal every 2 years MDS coordinator must maintain current with the training (renewal every 2 years). Knowledge of state and federal regulations, both clinical and financial as it… more
- Humana (Austin, TX)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
- Molina Healthcare (Fort Worth, TX)
- …and due-date logic * Proven history of building-or running-real-time dashboards that keep case aging within SLA * Demonstrated skill in root-cause triage that routes ... Quality, and Operations to fund high-return enhancements. **Core** ** ** **Duties** 1. Case Audits - Run scheduled and ad-hoc audits across internal and delegated… more
- Molina Healthcare (San Antonio, TX)
- …the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that ... License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare… more
- CVS Health (Austin, TX)
- …various life and work situations. + Appropriately documents member interactions and research/ case fulfillment in the system. + Works in an inbound and outbound ... + 1+ year(s) experience in social work, social services, or case management field. + Private, confidential workspace free from distractions.professional,… more
- CVS Health (Austin, TX)
- …Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business ... and clinical liaison to network providers and facilities if needed, to support the effective execution of medical services programs by the clinical teams. **Required Qualifications** *Two (2) or more years of experience in Health Care Delivery System eg,… more
- HCA Healthcare (Round Rock, TX)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Case Management Assistant today with St. David's Round Rock Medical Center. **Benefits** ... vary by location._** Come join our team as a(an) Case Management Assistant. We care for our community! Just...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more
- HCA Healthcare (Irving, TX)
- …purpose and integrity. We care like family! Jump-start your career as a Case Management Clerical Assistant today with Medical City Las Colinas. **Benefits** Medical ... vary by location._** Come join our team as a Case Management Clerical Assistant. We care for our community!...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… 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 ... members of the interprofessional health care team to facilitate care for designated case load; monitors the patient's progress, intervening as needed to ensure that… more