• Social Worker MSW PRN

    HCA Healthcare (Irving, TX)
    …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... you to apply for our Social Worker MSW PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the… more
    HCA Healthcare (08/02/25)
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  • Senior Inpatient Medical Coding Auditor…

    Humana (Austin, TX)
    …objectives and approaches to assignments. + Reviewing staff monthly QA review variances + Daily inventory monitoring and assignment of escalated inventory ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/02/25)
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  • Case Manager - Full Time - Days

    Houston Methodist (The Woodlands, TX)
    …patient satisfaction and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use, ... service focus and application of positive language principles + Knowledge of Medicare , Medicaid and Managed Care requirements + Progressive knowledge of community… more
    Houston Methodist (08/01/25)
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  • Claims Processing Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    …the claim issue. The Claim Edit Follow-Up Representative will be expected to review and resolve a No-Activity Workfile/Workqueue, which consist of accounts that have ... Skills** Required: Must be familiar with laws and regulations governing Medicare billing practices, medical billing systems, and claims processing. Preferred:… more
    Kelsey-Seybold Clinic (08/01/25)
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  • Physical Therapist Rehab

    HCA Healthcare (El Paso, TX)
    …guidelines Employee handbook, and standards of regulatory bodies (JACHO, Medicare , CARF, etc.) + Other duties as assigned. REQUIRED LICENSURE/CERTIFICATIONS ... you to apply for our Physical Therapist Rehab opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
    HCA Healthcare (07/31/25)
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  • Rehab Services Lead

    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 lead is responsible ... encourage you to apply for our Rehab Services Lead opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member… more
    HCA Healthcare (07/30/25)
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  • Charge Nurse-RN or LVN-Multiple Shifts

    STG International (Temple, TX)
    …meetings, rehabilitation meetings, in-service classes and committee meetings as assigned 11. Review the Glucometer Control Log to monitor the machine was checked ... 30. Document daily notes on unstable residents/change in resident condition, Medicare residents and recently admitted residents 31. Be responsible for the… more
    STG International (07/30/25)
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  • Surgery Scheduler

    HCA Healthcare (Plano, TX)
    …and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice ... encourage you to apply for our Surgery Scheduler opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
    HCA Healthcare (07/30/25)
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  • Director - Perioperative Services

    Texas Health Resources (Frisco, TX)
    …needs, patient outcomes, patient safety outcomes and productivity guidelines Monthly review of the Departmental Responsibility Reports (DRRs) to determine adherence ... 12 Months of hire Preferred **Skills** Knowledge of industry standards JCAHO, Medicare , OSHA, Regulatory standards for affected area of responsibility. Knowledge of… more
    Texas Health Resources (07/30/25)
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  • Senior Risk Partner - Compliance Officer

    Highmark Health (Austin, TX)
    …skills, as well as conceptual and analytic skills in order to review and articulate corporate objectives and regulations across all relevant audiences. + ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
    Highmark Health (07/29/25)
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