- CenterWell (Athens, TX)
- …of stamp date. . Fax the discharge / transfer summary / episode detail summary and Case Conference / 60 Day summary to the physician as task appears on the action ... and be able to problem solve effectively. . Must possess knowledge of Medicare guidelines governing home health and hospice agencies. . Must have exceptional… more
- CVS Health (Austin, TX)
- …best course of action to take in a timely and effective manner. Conducts case reviews and provides feedback to investigators on completeness and quality of the ... in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and written communication… more
- HCA Healthcare (El Paso, TX)
- …patient per dept policy; takes appropriate action based on patient case scenario according to current standards of clinical practice. Formulates appropriate ... guidelines Employee handbook, and standards of regulatory bodies (JACHO, Medicare , CARF, etc.) + Other duties as assigned. REQUIRED LICENSURE/CERTIFICATIONS… more
- Genesis Healthcare (Dallas, TX)
- …management of the rehabilitation department, including oversight related to case management, quality improvement, care planning, clinical utilization, and patient ... Operations Area Director for a period of one year. 5. A thorough knowledge of Medicare and third party billing is also required. Posted Salary Range USD $31.00 - USD… more
- Aveanna Healthcare (Buda, TX)
- …for a very special client/patient. Here are some of the details of this case , more can be discussed by applying or contacting the local office: Schedule: Multiple ... change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- HCA Healthcare (Plano, TX)
- …and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice ... general duties as assigned. . Maintain surgery logs or other required practice or case tracking logs. . Supports and adheres to all company and practice policies and… more
- Houston Methodist (Houston, TX)
- …in a healthcare setting, preferably hospital or clinic** + **Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies** + **Ability to review ... include physician's office, acute care, long term care, home health. + Case Management experience preferred. **LICENSES AND CERTIFICATIONS - REQUIRED** + N/A… more
- Molina Healthcare (San Antonio, TX)
- …contact information is current and up to date. + Effectively communicate general Medicare and Medicaid plan benefits to existing members. + Interact with appropriate ... with completion of comprehensive medication reviews through pre-work up to case preparation. + Proactively identify ways to improve member relations. **Job… more
- CenterWell (Austin, TX)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... advise patients on health maintenance and disease prevention or provide case management. + Understands own work area professional concepts/standards, regulations,… more
- HCA Healthcare (Webster, TX)
- …you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more