- HCA Healthcare (San Antonio, TX)
- …of 3 years clinical experience in area in which Case Management will be performed. + RN License to practice as a professional registered nursing in the state of ... this opportunity compelling, we encourage you to apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will… more
- Aveanna Healthcare (Temple, TX)
- RN Clinical Supervisor ApplyRefer a FriendBack Job Details Requisition #: 204757 Location: Temple, TX 76504 Category: Nursing Salary: $65,000.00 - $68,000.00 per ... year Position Details Position: Clinical Supervisor ( RN ) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest… more
- Molina Healthcare (TX)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (TX)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- Fresenius Medical Center (Webster, TX)
- …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state law. + ... information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient...obtain vital signs + Collect patient's treatment records and review for completion. Notify RN of incomplete… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a ... includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + Health Services\ RN - Registered Nurse - Texas State Licensure and/or… more
- USAA (Plano, TX)
- …of progressive health fraud experience, to include 6 years of experience working as a Registered Nurse ( RN ), Nurse Practitioner (NP), or Medical Doctor ... years working with Medicare Supplement claims and/or Medicare -related claims. + Expert Advice: Ability to review... Medicare -related claims. + Expert Advice: Ability to review complicated medical records and medical claims, and provide… more
- BAYADA Home Health Care (Austin, TX)
- …while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy. ... Manager with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will be...Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As an accredited, regulated, certified, and licensed home… more
- Fresenius Medical Center (Houston, TX)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and...+ Monitors patients performing self-care under the supervision of RN . Assists patients in performing self-care as applicable **Staff… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse ( RN ) responsible for promoting the achievement of optimal clinical and ... includes five years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + Health Services\ RN - Registered Nurse - Texas State Licensure and/or… more