- Kelsey-Seybold Clinic (Shenandoah, TX)
- …health consultation to patients as requested. They are responsible for maintaining case history records and preparing reports. The therapist conducts a comprehensive ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Kestra Medical Technologies, Inc (Houston, TX)
- …employed by this company unless they are directly involved with the patient's case . COMPETENCIES * Passion: Contagious excitement about the company - sense of ... Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- HCA Healthcare (El Paso, TX)
- …The MSW maintains a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes, and possesses a thorough ... this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and...maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You… more
- Banner Health (TX)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized software. 7....contacts. Must consistently demonstrate the ability to understand the Medicare Prospective Payment System, and the clinical coding data… more
- Kelsey-Seybold Clinic (Shenandoah, TX)
- …care to the outpatient setting safely and effectively by working with PCP's, case managers, and specialists. + Participate in teaching of medical students and house ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- CenterWell (Austin, TX)
- …Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction, execution ... Transitions of Care Management (TCM) program, and Episodic Consult (single-use case specific offerings) programs designed to improve quality and reduce costs… more
- St. George Tanaq Corporation (Austin, TX)
- …Central or Mountain Time Zones. **Responsibilities** + Reviews medical records/ case file, writes a reconsideration/dispute resolution decision that is clear, ... medical and healthcare practices, policies and procedures + Participates in case specific verbal discussions + Conducts reviews of appeals/disputes with multiple… more
- Cordis (Houston, TX)
- …and Associate Territory Manager to achieve daily sales objectives through case support and product in-servicing. Responsible for direct revenue generation ... (transactional Business) through direct case support. Reports to National Clinical Sales Director. **Responsibilities** + Responsible for meeting revenue generation… more
- Molina Healthcare (Fort Worth, TX)
- …and adherence to appropriate guidelines and support staff who have an ongoing member case load for regular outreach and management. + As a Lead RN provide support, ... HCS Department staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and direction of… more
- Humana (Austin, TX)
- …best practices including user research, concept testing, opportunity sizing, business case development, training, and de-risking barriers to scale + Prioritize ... to: user research and concept testing, opportunity sizing and/or business case development, product blueprints, data and/or technology requirements, and ability to… more