• Social Worker MSW PRN

    HCA Healthcare (Dallas, TX)
    …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... thorough understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge… more
    HCA Healthcare (11/16/25)
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  • Senior Compliance Analyst

    Highmark Health (Austin, TX)
    …include legislators, consumers, special interest groups, advocacy agencies, CMS, state Medicare / Medicaid administrators, and other regulatory bodies such as DPW. ... + Ensure or participate in ensuring that systems are updated and accurate for compliance. + Responsible for understanding and applying accreditation and regulatory requirements. May support Regulatory Compliance department to ensure all state renewals,… more
    Highmark Health (11/15/25)
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  • Senior Payment Integrity Professional

    Humana (Austin, TX)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/15/25)
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  • Medical Social Worker MSW Kidney Transplant

    HCA Healthcare (El Paso, TX)
    …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... thorough understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge… more
    HCA Healthcare (11/15/25)
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  • Case Manager-Registered Nurse (RN) FT Days

    Houston Methodist (Houston, TX)
    …customer service focus and application of positive language principles + Knowledge of Medicare , Medicaid and Managed Care requirements + Progressive knowledge of ... community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs + Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
    Houston Methodist (11/15/25)
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  • Licensed Social Worker, Hospice

    AccentCare, Inc. (San Antonio, TX)
    …of permit to practice in state(s) of agency operation if required + Medicare / Medicaid /Insurance specialty preferred + Unless otherwise dictated by the state, at ... least one (1) year of professional social work experience (post-graduate) in a healthcare setting required; 2+ years preferred + Experience or education in grief counseling preferred. + Discharge planning experience preferred. Responsibilities: As a Hospice… more
    AccentCare, Inc. (11/14/25)
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  • Senior Analyst, Business

    Molina Healthcare (Fort Worth, TX)
    …+ Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). ... + Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an… more
    Molina Healthcare (11/14/25)
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  • Lead Software Engineer- IVR & Omnichannel APIs

    Humana (Austin, TX)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/14/25)
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  • Social Worker MSW

    HCA Healthcare (Pasadena, TX)
    …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... thorough understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge… more
    HCA Healthcare (11/14/25)
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  • Advanced Practice Provider - OB/GYN Whcg…

    UTMB Health (Angleton, TX)
    …plan of care that encompasses evidence-based practice guidelines, practice protocols, Medicare , Medicaid , and other state and federal regulations. + ... Prescribes appropriate pharmacological and non-pharmacological treatments + Provides appropriate education for current health diagnoses as well as anticipatory guidance for health promotion and disease prevention applicable to the individual's health and… more
    UTMB Health (11/13/25)
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