- Aveanna Healthcare (Houston, TX)
- …- $68,000.00 per year Position Details Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is ... Aveanna Clinical Standard of Excellence. Key components include internal case management, assisting with hospital discharges, coordinating start-of-care processes,… more
- HCA Healthcare (Houston, TX)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Houston Healthcare at ... psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations. +… more
- HCA Healthcare (Houston, TX)
- …to all regulatory agency standards pertaining to physical therapy. (JCHAO, APTA, Medicare , Insurance, HIPAA) + Documentation of patient care is completed in a ... and time frames involved in tasks delegated. + Successfully manages a case load meeting department standard. + Utilizes the scheduler appropriately. Schedules… more
- Datavant (Austin, TX)
- …+ Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- Aveanna Healthcare (Temple, TX)
- …or tardiness. + Monitor and address cost containment to ensure efficient case assignments. + Evaluate and support staff performance with a positive approach. ... to work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Aveanna Healthcare (Houston, TX)
- …or tardiness. + Monitor and address cost containment to ensure efficient case assignments. + Evaluate and support staff performance with a positive approach. ... to work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Humana (Austin, TX)
- …with the Enterprise Operations Enablement (EOE) team our Insurance AI Lean Business Case for Correspondence Modernization + Development of a process to make use of ... to properly analyze and investigate requirements to determine other liable parties due to Medicare set aside settlement arrangements for both Part C and Part D +… more
- St. George Tanaq Corporation (Austin, TX)
- …can be based anywhere in the United States. **Responsibilities** + Reviews medical records/ case file, writes a decision that is clear, concise, and impartial and ... **Required Experience and Skills** + One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare… more
- Evolent (Austin, TX)
- …interventional cardiology to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to better ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- HCA Healthcare (Austin, TX)
- …psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations. + ... public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly… more