- Elevance Health (Grand Prairie, TX)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- Magellan Health Services (Dallas, TX)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement ... the Clinical Center of Excellence. + Provides clinical leadership to the interdisciplinary Medical Management...committees or project teams as directed by the senior medical director or vice-president. + Supports senior… more
- Elevance Health (Grand Prairie, TX)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… more
- Bristol Myers Squibb (Dallas, TX)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . Reporting into the Medical Value Liaison Field Director , the Senior Medical Value ... enters strategic discussions with health care decision makers as they relate to medical / clinical and health economic and outcome research (HEOR) data with… more
- Skyline Nursing Center (Dallas, TX)
- …Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information ... for all residents; ensures documentation is present in the medical record to support MDS coding. * Maintains current...assists, and instructs staff in the RAI Process, PPS Medicare , Medicaid (Case Mix as required) and clinical… more
- The Cigna Group (Plano, TX)
- …and rates. + Enhance the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited ... facility systems as well as construct a united negotiation strategy with our Medical Commercial and Medicare contracting and Network Strategy Leadership. +… more
- HCA Healthcare (Dallas, TX)
- …to join an organization that invests in you as a Reimbursement Manager? At Medical City Healthcare, you come first. HCA Healthcare has committed up to $300 million ... support our incredible team members over the course of three years. **Benefits** Medical City Healthcare, offers a total rewards package that supports the health,… more
- HCA Healthcare (Frisco, TX)
- …Management where building a healthier tomorrow is more than a job? Our Medical City Frisco team is committed to partnership, innovation, legacy and improving more ... lives in more ways. Share your resume today. **Benefits** Medical City Frisco, offers a total rewards package that...the Case Manager and Social Worker roles. + Audits Medicare Important Message from Medicare documents, avoidable… more
- Gentiva (Plano, TX)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... diagnostic tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the… more
- Aveanna (Mesquite, TX)
- …to internal and external clients as it relates to branch location's clinical operational support activities. Essential Job Functions Payroll Activities: Weekly time ... certifications) Creating and providing monthly evaluation and skills report to Director (s) Coordinate with Corporate Risk Management and Leave of Absence Specialists… more
- Skyline Nursing Center (Dallas, TX)
- …Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information ... systems operations and education for the clinical department. Principal Responsibilities * Works in collaboration with...for all residents; ensures documentation is present in the medical record to support MDS coding. * Maintains current… more
- Elara Caring (Dallas, TX)
- …coordinating referrals, virtual healthcare processing, and maintaining communication between Clinical Supervisors and liaisons and the agency. At Elara Caring, ... + Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer...a health care setting is required + Knowledge of Medicare and Medicaid payment guidelines and third-party payors is… more