• Medical Director - Medicare

    Elevance Health (Houston, TX)
    …the afternoons. Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical ... ** Medical Director - Medicare (Part-time)** Location: This role enables associates to work virtually full-time, with the exception of required in-person… more
    Elevance Health (05/17/25)
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  • Associate Market Clinical Director

    ChenMed (Houston, TX)
    …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
    ChenMed (04/01/25)
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  • Medical Director Specialty…

    Molina Healthcare (Houston, TX)
    **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
    Molina Healthcare (04/09/25)
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  • Medical Director , Behavioral Health

    Molina Healthcare (Houston, TX)
    …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... State Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
    Molina Healthcare (04/26/25)
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  • Director Governmental Reporting

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist meets all internal and external financial and ... governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and… more
    Houston Methodist (03/04/25)
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  • Director of Rehab - Occupational Therapist…

    Genesis Healthcare (Conroe, TX)
    …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... expertise with our Clinicians in Action professional development program. Responsibilities The Director of Rehab OT is responsible for the efficient management of… more
    Genesis Healthcare (05/21/25)
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  • Director , Appeals & Grievances (Texas)

    Molina Healthcare (Houston, TX)
    …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
    Molina Healthcare (05/16/25)
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  • Assistant Director Central Business Office

    HCA Healthcare (Houston, TX)
    …**Introduction** Are you ready to manage in a new era as an Assistant Director Central Business Office where building a healthier tomorrow is more than a job? ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...HCA Healthcare facility. Be an impact as an Assistant Director Central Business Office where your passion for leading… more
    HCA Healthcare (05/31/25)
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  • Director - Case Management & Social…

    Houston Methodist (Houston, 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
    Houston Methodist (05/02/25)
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  • Director Of Nursing / DON

    BrightSpring Health Services (Houston, TX)
    …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case ... nursing and direct care staff, family and/or guardians, and community medical providers and professional consultants in cooperation with operations management +… more
    BrightSpring Health Services (05/23/25)
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  • Supervisor, Referrals

    ChenMed (Houston, TX)
    …and runs referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepares Referral ... Team Meeting Minutes and send minutes to Operation Director , Market Medical Director , Market...the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace +… more
    ChenMed (04/23/25)
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  • Bilingual Spanish Physician- CenterWell

    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 ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...**Preferred Qualifications** . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum… more
    CenterWell (03/04/25)
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  • Registered Nurse Case Management

    HCA Healthcare (Houston, TX)
    …over 31.2 million patient interactions every year, nurses at HCA Houston Healthcare Medical Center have the opportunity to make a real impact. As a(an) Registered ... be a part of change. **Benefits** HCA Houston Healthcare Medical Center, offers a total rewards package that supports...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
    HCA Healthcare (05/29/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Houston, TX)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
    HCA Healthcare (05/17/25)
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  • PRN ST Home Health

    HCA Healthcare (Houston, TX)
    …discharge notes and patient communication. + You will consult with Program Director and Rehab Physician/ Medical Director regarding pre-screen assessments ... 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
    HCA Healthcare (05/07/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    Job Title: Clinical Data Abstraction Specialist Supervisor: Director , VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), ... Specialist is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk… more
    Apex Health Solutions (04/25/25)
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  • Registered Nurse Chest Pain Coordinator

    HCA Healthcare (Conroe, TX)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Society of Chest Pain Centers and governmental regulation for Medicare compliance. Manages all CV Data to include ACC,… more
    HCA Healthcare (05/24/25)
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  • Healthcare Sales - Enteral and Respiratory

    Aveanna Healthcare (Houston, TX)
    …a monthly, uncapped commission plan Position Overview: The Client Relations Director is responsible for successfully marketing to doctors' offices, hospitals, and ... Strong critical thinking and strategic sales skills. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (04/22/25)
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