- Centene Corporation (Mcallen, TX)
- …behavioral health hospital, community mental health, substance abuse/ detox recovery treatment, managed care behavioral health, or state social services settings ... days per week.** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Molina Healthcare (TX)
- …5-7 years of Medicare Stars Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly ... **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality… more
- Molina Healthcare (Houston, TX)
- …: * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed ... work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job… more
- Houston Methodist (The Woodlands, TX)
- …services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and ... admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services...and role components + Knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
- US Physical Therapy (Houston, TX)
- …a **Contract Manager /Analyst.** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...in Managed Care , WC, Replacements & Auto lines of business. They...and leadership + Employee discount plans + Employee Assistance Program (EAP) + Investment from a company that wants… more
- Erickson Living (Dallas, TX)
- …Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior Living) ... The Care Coordinator will measure case performance based on program goals, objectives, quality indicators, and patient-specific outcomes. + Researches and… more
- Houston Methodist (Houston, TX)
- …application of positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of community resources, ... of discharge planning, utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and… more
- Houston Methodist (Katy, TX)
- …competency and professional pathway progression. + Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...after ongoing revenue cycle analysis. Meets with payors and/or Managed Care to discuss aged accounts, adjudications… more
- Natural Grocers (Cedar Park, TX)
- Salary Range USD $62,000.00/Hr. - Overview The Job in a Nutshell: The Assistant Store Manager is the second person in charge of the store and is responsible for the ... food safety certifications and registration. + The Assistant Store Manager is responsible for ensuring that the store is...rotated and stocked per company standards. + Mark-downs are managed per company standards. + Responsible for assisting the… more
- UTMB Health (Beaumont, TX)
- …**New** Social Service UTMB Health Requisition # 2506467 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... Works under the supervision of a Psychologist, Mental Health Manager or Program Director. **_ESSENTIAL JOB FUNCTIONS_**...+ Contributes to the success of the UTMB Correctional Managed Care organization. + Assesses and documents… more
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