- Genesis Healthcare (TX)
- …to meet those goals. *Provide guidance, oversight, and direction for compliance of auditing activities and investigations related to MDS and reimbursement. ... Nurse or equivalent professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to… more
- Molina Healthcare (San Antonio, TX)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- CenterWell (Mcallen, TX)
- …local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... service + Basic computer skills, including email and EMR **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
- CenterWell (San Antonio, TX)
- …local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... is a part of our Tuberculosis (TB) screening program. **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
- CenterWell (San Antonio, TX)
- …local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... a part of our Tuberculosis (TB) screening program.** **Preferred Qualifications:** ** Medicare Provider Number** **Medicaid Provider Number** **Minimum of two to five… more
- CenterWell (Arlington, TX)
- …primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
- Option Care Health (Houston, TX)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
- Apex Health Solutions (Houston, TX)
- …technicians) in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination (appeal) process, ... (internal and external). The pharmacy specialist will also work with the compliance department to perform frequent audits and provide exceptional customer service… 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 ... (TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for...with the applicable center and market leadership to ensure compliance with guidelines along with participating in risk and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in ... coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical...CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve… more