- BrightSpring Health Services (San Antonio, TX)
- …in the hospice industry. Specializing in providinghospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint Patient Carehas grown to become ... possible weekend rotation and on call Responsibilities + Works with Pharmacy Director to implement work flow and productivity measures that will achieve performance… more
- Texas Health Resources (Arlington, TX)
- …Direct reports to this position include the Texas Health Chief of Police, Director Security Programs, Director Security Systems & Technology, Director ... not limited to; state and federal criminal and civil codes, IAHSS, TJC, CMS/ Medicare , OSHA, the State of Texas Commission on Law Enforcement, the Texas Department… more
- Molina Healthcare (Fort Worth, TX)
- …leadership apprised. * Collaborates with the chief medical officer and medical director team to develop and implement processes to effectively manage clinical ... Committee for Quality Assurance (NCQA)/Healthcare Effectiveness Data Information Set (HEDIS)/ Medicare STARS). * Excellent organizational and time-management skills. *… more
- Cognizant (Austin, TX)
- …. Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with ... Medicare , Medicaid, and third-party guidelines. . Effectively document and...can be based on InterQual, Milliman Clinical Guidelines (MCG), Medicare guidelines, and health insurer specific guidelines. . Review… more
- Nestle (Dallas, TX)
- …HME/DME customers within Nestle Health Science. This individual reports to the Director of Post Acute and will work cross-functionally to leverage our portfolio ... understanding of the HME/DME market and reimbursement processes, including Medicaid, Traditional Medicare , Medicare Advantage and value based care. * Excellent… more
- Gentiva (Athens, TX)
- …Care RN Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will play a vital role in maintaining a high-performing ... Manage clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility, insurance verification, and patient benefit tracking +… more
- Danaher Corporation (Dallas, TX)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and… more
- HCA Healthcare (San Antonio, TX)
- …of the organization and meets the requirements or regulations of JACHO, Medicare , Medicaid, and appropriate licensing or certified boards. The supervisor is ... conditions of participation, requirements or regulations of the following: JCAHO, Medicare , Medicaid, Texas State Licensures, and Certification as required. 5. Makes… more
- Gentiva (Waco, TX)
- …needs. You will work autonomously in collaboration with the Palliative Medical Director , delivering exceptional care and guiding patients and families through every ... of treatment. **Responsibilities:** + Collaborate with the Palliative Medical Director and care team to deliver comprehensive, patient-centered palliative care.… more
- STG International (Temple, TX)
- …population 13. Counsel Nursing Assistants and recommend disciplinary action to the Director of Nursing Service, when necessary 14. Comply with community processes ... administration 19. Promptly report changes in residents' conditions to the physician, Director of Nursing Service and responsible party, and take follow-up action as… more