- Elevance Health (Houston, 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
- Elevance Health (Houston, 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
- Catholic Health Initiatives (The Woodlands, TX)
- …secondary care hospital serving North Harris and Montgomery counties. Clinical services include cardiovascular services diagnostic imaging women's services (digital ... II nurseries) and surgery pathology and pulmonary services and sleep disorders. Clinical affiliations include The University of Texas MD Anderson Cancer Center's… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work ... promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance… more
- Aveanna (Houston, TX)
- Therapy Director (OT, PT, or SLP) ApplyRefer a FriendBack Job Details Requisition #: 195770 Location: Houston, TX 77077 Category: OT Salary: Starting at $90,000 per ... year Position Details Therapy Director (OT, PT or SLP) Location:Katy and College Station...upon their qualifications and experiences. Responsibilities Include: + Supervise clinical operations of therapy program within a branch +… more
- The Buckingham (Houston, TX)
- …to the nursing center. + Evaluates residents for meeting the criteria for Medicare payment, to include clinical eligibility and availability of Medicare ... care. We offer a competitive salary and benefits including medical , dental and vision coverage, 401k with match, PTO,...and certified nursing center. This person will assist the Director of Nursing in directing health related services for… more
- Fresenius Medical Center (Houston, TX)
- …minutes. + Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws. + ... Facility Administrator is responsible for the leadership of the clinical facility ensuring all clinical , operational, and...regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices… more
- CenterWell (Houston, TX)
- …M-F, and no hospital call or weekend requirements. The current position is a path-to- medical director position, with potential for promotion after 1 year. **Use ... the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting...coding specificity. * Follows policy and protocol defined by Clinical Leadership. * Meets with RMD about quality of… more
- CenterWell (Houston, TX)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Apex Health Solutions (Houston, TX)
- …and follows established reporting procedures. Refers cases and issues to Care Management Medical Director in compliance with Department procedures and follows up ... as necessary to ensure timely resolution of issues. Audits clinical documentation for compliance and quality Analyzes reports and...team and cases for case management rounds with the medical director and multidisciplinary team. Coordinates and… more
- CenterWell (Houston, TX)
- …Follows policy and protocol defined by Clinical Leadership. + Meets with Area Medical Director and Lead Cardiologist about quality of care, review of outcome ... the care team through daily huddles. + Helps Area Medical Director and Center Administrator in setting...pump + Work experience in electrophysiology + Experience managing Medicare Advantage panel of patients with understanding of Best… more
- CommonSpirit Health (Houston, TX)
- …and the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of illness, acuity, risk of mortality, and communicate ... make recommendations for care as well as interacting with medical staff members and medical directors of...Management or Managed Care: Works with the Care Management Director and staff to facilitate client profiles, clinical… more
- Aveanna (Houston, TX)
- …Current license as an RN + Thorough knowledge of the home care industry, Medicare and Medicaid coverage requirements, clinical and operations practices, and a ... Overview The Regulatory Compliance and Coverage Specialist will report to the Director of Regulatory Compliance and Quality Review. The Regulatory Compliance and… more
- Elara Caring (Cypress, TX)
- …focused and results-driven, but some of their greatest work is improving clinical outcomes and implementing QAPI programs. As a Field Supervisor with us, ... package + Comprehensive onboarding and mentorship + Opportunities for advancement + Medical , dental, and vision benefits, 401K match and paid time off for… more
- HCA Healthcare (Houston, TX)
- …communication between all involved in patient care activities. In conjunction with the Director of Clinical Services, is responsible for development of home ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- Houston Methodist (Houston, TX)
- …procedures, and provides quality reviews. Reports results of key performance metrics to director on a timely basis. **FINANCE ESSENTIAL FUNCTIONS** + Assists in the ... to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash… more