- Texas Health Resources (Bedford, TX)
- …Therapy License Upon Hire Required And + BCLS - Basic Cardiac Life Support prior to providing independent patient care and maintained quarterly Required **What You ... therapy . Demonstrates Professional accountability. Utilizes available resources (equipment, support personnel, educational resources) to maximize efficiency and productivity… more
- Texas Health Resources (Arlington, TX)
- …Pathology License Upon Hire Preferred And + BCLS - Basic Cardiac Life Support prior to providing independent patient care and maintained quarterly Required **What ... therapy . Demonstrates Professional accountability. Utilizes available resources (equipment, support personnel, educational resources) to maximize efficiency and productivity… more
- Humana (Austin, TX)
- …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... capabilities, new ways of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of this expanding Digital… more
- BAYADA Home Health Care (Austin, TX)
- …as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations ... of MCM. + Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan...plan of care and accurate OASIS documentation. + Provide support and communication to all disciplines within the service.… more
- Humana (Austin, TX)
- …includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical… more
- NTT America, Inc. (Plano, TX)
- …Manager to join our team. NTT DATA is seeking to hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements and improve end-to-end delivery ... of Medicare Appeals. Desire experience specifically for processes for clinical...operations. + Remote employees must adhere to all technical support procedures and protocols. + Chronic connectivity issues or… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- HCA Healthcare (Austin, TX)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... health, public nursing or acute hospital nursing experience Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS… more
- CVS Health (Austin, TX)
- …via multiple channels (digital, telephone) and conducts outreaches to our Medicare members to inspire and encourage healthy behaviors through innovative, ... of the available benefits that are afforded to them under their Medicare plan for specific screenings and medications. The Health Advocate delivers provider… more
- Molina Healthcare (Austin, TX)
- …ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of ... medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred… more