- HCA Healthcare (El Paso, TX)
- …Employee Handbook and standards of regulatory bodies (The Joint Commission, Medicare , CARF, etc) + Demonstrates Customer Service/AIDET principles and behaviors ... we encourage you to apply for our Occupational Therapist PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- Catholic Health Initiatives (Houston, TX)
- …obtaining pre‐certification reference number, approved length of stay, and utilization review company contact person and telephone number. 13. Notify hospital Case ... regarding insurance plan changes/COB order, out of network plans, and Medicare supplemental plans that require pre‐certification. 14. Contact physician's on… more
- Gentiva (Paris, TX)
- …hospice physician responsible for certifying the patient's terminal prognosis + Review and interpret diagnostic test results, medication profiles, and treatment ... experience in hospice, palliative care, or geriatrics + Strong understanding of Medicare hospice regulations and eligibility criteria + Experience providing care in… more
- UTMB Health (Galveston, TX)
- …management of QA/Coding Team personnel, working with Revenue Cycle leadership to review , monitor and improve the performance, productivity and accuracy of the ... SKILLS / ABILITIES:** * Knowledge of federal and state collection laws, Medicare , Medicaid, and other third-party pay or regulatory requirements. * Thorough… more
- HCA Healthcare (El Paso, TX)
- …Plans/OSHA guidelines, Handbook, and standards of regulatory bodies (JCAHO, Medicare , CARF, etc.) + Other duties as assigned. REQUIRED LICENSURE/CERTIFICATIONS ... we encourage you to apply for our Occupational Therapist PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- Healthfirst (TX)
- …the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The Case Manager, ... Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State + Department of Health… more
- Prime Therapeutics (Austin, TX)
- …or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract ... ranges from $164,000.00 - $279,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …systems, etc.).(b) Knowledge of the Joint Commission requirements, Centers for Medicare & Medicaid Services, Commission on Cancer, and American College of ... location of the cancer. (c) Ability to operate computerized programs to review documentation within the electronic medical record. (d) Ability to notify appropriate… more
- HCA Healthcare (San Antonio, TX)
- …and accepted internal (eg unit, department, and hospital) and external (eg JCAHO, Medicare , OSHA) standards in order to facilitate optimum care and health education ... to apply for our Director of Nursing Operations opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- HCA Healthcare (Houston, TX)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team ... to apply for our Home Health Account Executive opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more