- The Judge Group Inc. (Corpus Christi, TX)
- Physician Center Medical Director Job Location: Garden CA Employment Type: Full Time Overview Are you looking for an outpatient physician practice within a small ... options abound? Then look no further than a Center Medical Director position in Gardena, CA. As...for state Pennsylvania Must be eligible to participate in Medicare Board Certification or Eligibility in an ABMS or… more
- Gpac (Agua Dulce, TX)
- …most highly respected senior living communities is seeking a dedicated and experienced Director of Nursing to join their leadership team. This is an award-winning, ... with a strong legacy of excellence in long-term care. We're looking for a Director of Nursing with proven leadership experience in senior living or hospital settings… more
- UHS (Greenville, TX)
- …latest treatment approaches and applying this to our overall treatment philosophy. The Director of Nursing is responsible for the clinical practice of nursing which ... Registered Nurse in Texas. Additional Requirements: A thorough knowledge of JCAHO, Medicare , OSHA regulations and all other state and federal regulatory standards.… more
- CSI Pharmacy (Nash, TX)
- Job Title CSI Director of Managed Care (S) Location Remote/Nationwide, USA Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description ... life cycle Achieve and maintain a full understanding of Medicaid and or Medicare pricing reimbursement and structure for both payors and providers Responsible for… more
- Healogics (Edinburg, TX)
- …on patient care quality improvement. This position works in collaboration with the Program Director and the Medical Director to meet the Center's program ... other health care providers, key hospital personnel, Wound Care Center Providers, Program Director , and Medical Director regarding clinical and patient… more
- South Region OPS Med Groups (Houston, TX)
- …virtually to manage their acute and chronic conditions. The APC collaborates with the Associate Medical Director or Senior Medical Director to formulate ... IVs, wound debridement, joint injections, vaccinations, etc.) Collaborate with lead Associate Medical Director /Senior Medical Director , specialists,… more
- US Renal Care, Inc. (Fort Worth, TX)
- …and/or participate in both formal and informal meetings with the governing body, Regional Director , Medical Director and the staff as delegated. Assure that ... belonging to the center. Partnerships: Maintain collaborative working relationship with Medical Director and physicians. Establish and maintain a positive… more
- HCA Healthcare (Pasadena, 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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability… more
- Enhabit Home Health & Hospice (San Antonio, TX)
- …Matching 401(k) plan for all employees Comprehensive insurance plans for medical , dental and vision coverage for full-time employees Supplemental insurance policies ... employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan… more
- UnitedHealth Group (Corpus Christi, TX)
- …nursing, home health aide, physical therapy, occupational therapy, speech therapy, and medical social services. The Clinical Team Manager coordinates patient care on ... of the Clinical Team Manager Lead per branch and/or Director of Nursing for home health for that branch....ensure records are accurate and timely and adhere to Medicare and other payer guidelines Ensures that clinical notes,… more
- Discovery at Home (Southlake, TX)
- …US senior living operators. Established in 2012 with the creation of a Medicare -certified agency in Southwest Florida, Discovery At Home has grown steadily over the ... Confirms on a weekly basis the scheduling of visits with the supervisor/ Director of Clinical Services in order to coordinate Agency visits. Assumes responsibility… more
- Heart to Heart Hospice (Dallas, TX)
- …the staff, the lay and professional public, the Board of Directors and Medical Director Current State Driver's License, reliable transportation and provide ... of business management and a strong knowledge of the Medicare Hospice Benefit and skilled nursing payer benefits Must...Salary and Bonus Plan Company Car for qualifying individuals Medical , Dental & Vision insurance Paid Time Off Paid… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Molina Healthcare (San Antonio, TX)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Molina Healthcare (San Antonio, 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 (TX)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid. This position will provide direct support to the implementation… more
- CVS Health (Austin, TX)
- …We are seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The ideal ... candidate will have deep expertise in CMS Part C and D programs, Medicare Advantage bid cycle management, and pricing strategies. This role requires a strong… more
