- UTMB Health (Galveston, TX)
- …plan of care that encompasses evidence-based practice guidelines, practice protocols, Medicare , Medicaid, and other state and federal regulations. + Prescribes ... manner to ensure all services are accurately accounted for and available for review by the interdisciplinary team + Adheres to internal controls established for… more
- Sedgwick (Plano, TX)
- …limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... hiring manager. + Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary.… more
- UTMB Health (Galveston, TX)
- …commercial and government payers, including HMOs, PPOs, ACOs, and Medicaid/ Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance ... and ongoing oversight. * Represent the organization in payer meetings, contract review sessions, and industry forums. * Provide leadership, mentorship, and guidance… 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 ... you to apply for our Occupational Therapist Rehab opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.… 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
- 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