- Molina Healthcare (Austin, TX)
- …more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2 years of healthcare ... years supervisory/management experience in a managed healthcare environment. + Medicaid/ Medicare Population experience with increasing responsibility. + 3+ years of… more
- Jet Health (San Antonio, TX)
- …position will perform home health visits for an established agency. We are a Medicare -certified home health care organization, we are one of the fastest growing home ... perform a certain task, report to the Registered Nurse Case Manager immediately + Meeting safety needs of patient...patient's condition and significant changes to the Registered Nurse Case Manager. Also aware of the caregiver or other… more
- Banner Health (TX)
- …of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate productivity standards, ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
- ChenMed (Houston, TX)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more
- Humana (Austin, TX)
- …test plans, test cases, and product requirements. + Participate in test case reviews and ensure alignment with stakeholder expectations. + Align testing activities ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more
- Catholic Health Initiatives (Bryan, TX)
- …utilization review company contact person and telephone number 13. Notify hospital Case Managers on all in-house patients regarding insurance plan changes/COB order, ... out of network plans, and Medicare supplemental plans that require pre-certification 14. Contact physician's on scheduled patients, to notify them of authorization… more
- Aveanna Healthcare (Bryan, TX)
- …care 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: 1-2 ... applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Humana (Austin, TX)
- …scientists, software engineers, and stakeholders to deliver high impact AI use case solutions. + Lead the development and maintenance ofcomplex machine learning ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Molina Healthcare (San Antonio, TX)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in… more
- Aveanna Healthcare (Brownsville, TX)
- …care 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: Schedules: + ... applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more