Current jobs related to Corporate Regional CaseMix Coordinator - Houston, Texas - Nexion Health

  • Office Manager

    3 days ago

    Houston, Texas, United States Tricon Residential Full time

    Job Summary: The Regional Excellence Manager - Office Operations and Logistics Coordinator is responsible for enhancing operational excellence in their assigned Region of Excellence (ROX) by managing logistics, communication, and organization. This role plays an active part in the entire ROX operations and requires a self-starter who understands the...

  • Corporate Move Coordinator

    7 days ago

    Houston, Texas, United States Glomo Full time

    Job Title: Corporate Move CoordinatorJob Summary:Glomo is seeking a detail-oriented and communicative Corporate Move Coordinator to join our dynamic team. The ideal candidate will be responsible for ensuring seamless relocation experiences for our corporate clients.Key Responsibilities:Customer Communication:Provide timely and accurate information to...

  • Payroll Coordinator

    3 weeks ago

    Houston, Texas, United States ENA Corporate Full time

    Job Summary:We are seeking a highly skilled Payroll Coordinator to join our team at ENA Corporate. As a Payroll Coordinator, you will be responsible for the timely and accurate processing of payroll for multiple company codes. This includes maintaining employee data, handling payroll questions, and completing tasks necessary for monitoring and overseeing the...

  • Regional Director of Care Coordination RN

    4 weeks ago

    Houston, Texas, United States CommonSpirit Health Full time

    OverviewCommonSpirit Health is a leading healthcare organization that has been formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With over 700 care sites across the U.S., we provide a wide range of healthcare services, from clinics and hospitals to home-based care and virtual care services. Our mission is to build healthy...

  • Corporate Office Coordinator

    2 days ago

    Houston, Texas, United States Amerapex Full time

    Job SummaryThe Corporate Office Coordinator is a vital role at Amerapex, responsible for providing exceptional reception and administrative support to our corporate office. This individual will be the first point of contact for visitors, manage phone calls and messages, and perform various clerical duties to ensure the smooth operation of our office.Key...

  • Corporate Interiors Project Manager

    3 weeks ago

    Houston, Texas, United States Class A Corporate Interiors General Contractor Full time

    About the Opportunity:We are seeking a highly experienced and skilled Superintendent to join our team at Class A Corporate Interiors General Contractor. As a key member of our construction team, you will be responsible for overseeing the successful delivery of our Ground Up New Construction projects, ensuring timely and within-budget completion.Key...

  • Corporate Trust Relationship Specialist

    3 weeks ago

    Houston, Texas, United States Regions Bank Full time

    Job SummaryWe are seeking a highly skilled Corporate Trust Relationship Consultant to join our team at Regions Bank. As a key member of our Corporate Trust team, you will be responsible for handling trust-related issues, scheduling payments, and providing exceptional service to our clients.Key ResponsibilitiesManage the set-up, implementation, and...

  • Logistics Coordinator

    1 month ago

    Houston, Texas, United States Domino's Corporate Full time

    Domino's Corporate is seeking a skilled Delivery Driver to join our team. As a Delivery Driver, you will be responsible for delivering food to customers with excellent customer service and a positive attitude.**Why Choose Domino's?**• Competitive hourly wage and tips• Flexible scheduling and opportunities for overtime• Discounts on menu items and a...

  • Regional Accounting Leader

    3 days ago

    Houston, Texas, United States Heartland Full time

    We are seeking a highly motivated and customer-driven professional to lead the Southwest Region's accounting team as a Regional Controller in Tucson, Arizona. The Company HeartLand, LLC is a progressive organization dedicated to building relationships and delivering exceptional service through leading commercial landscape firms across the US. We deliver the...

  • Southern Regional Logistics Coordinator

    2 weeks ago

    Houston, Texas, United States USALCO Full time

    Job SummaryThe Regional Dispatcher will play a critical role in supporting the transportation operations of USALCO, a leading provider of aluminum-based component products. This position requires a motivated, detail-oriented, and results-driven individual who can effectively coordinate and dispatch drivers and equipment to meet customer needs.Key...

  • Southern Regional Logistics Coordinator

    2 weeks ago

    Houston, Texas, United States USALCO Full time

    Job SummaryThe Southern Regional Dispatcher will play a critical role in ensuring the smooth operation of our transportation department. This individual will be responsible for scheduling and dispatching drivers and equipment, coordinating daily routes, and monitoring electronic logging systems.Key ResponsibilitiesCoordinate and set up daily dispatch routes...

  • Southern Regional Logistics Coordinator

    2 weeks ago

    Houston, Texas, United States USALCO Full time

    Job SummaryThe Regional Dispatcher will play a crucial role in ensuring the smooth operation of USALCO's transportation department. This individual will be responsible for scheduling and dispatching drivers and equipment, coordinating daily routes, and monitoring electronic logging systems. The ideal candidate will have excellent organizational and...

  • Southern Regional Logistics Coordinator

    1 week ago

    Houston, Texas, United States USALCO Full time

    Job Title: Southern Regional DispatcherUSALCO, LLC is a leading provider of aluminum-based component products used in various industries. We are seeking a motivated and detail-oriented individual to join our team as a Southern Regional Dispatcher.Job Summary:The successful candidate will be responsible for scheduling and dispatching drivers and equipment to...

  • Regional Director

    1 month ago

    Houston, Texas, United States Eaton Corporation, plc Full time

    Key ResponsibilitiesAs a Regional Manager at Eaton Corporation, plc, you will be responsible for ensuring the integrity and competency of systems to comply with corporate, division, and organization policies, guidelines, and procedures.Key Performance IndicatorsDrive productivity growth within the group utilizing leading principles and electronic tools to...

  • Regional Automation Sales Manager

    2 days ago

    Houston, Texas, United States Jobot Full time

    Job SummaryJobot is seeking a seasoned Automation Sales and Regional Manager to spearhead sales and business development initiatives within the Midwest region. As a key member of our fast-growing team, you will be responsible for developing and implementing strategic sales plans to accommodate corporate goals within the region.Key ResponsibilitiesDirect...

  • Central Regional EH&S Manager

    1 month ago

    Houston, Texas, United States Carrier Full time

    About this RoleThe Central Regional Environmental, Health & Safety Manager will be responsible for providing strategic direction and oversight of EH&S policies and programs to ensure compliance with applicable local laws and regulations and corporate standards across the regional business units within Carrier North America Services.Key...

  • Western Director of Regional Philanthropy

    1 month ago

    Houston, Texas, United States TBWA\Chiat\Day Full time

    Job Title: Western Director of Regional PhilanthropyWe are seeking a highly skilled and experienced Western Director of Regional Philanthropy to join our team. As a key member of our fundraising team, you will be responsible for developing and implementing a comprehensive fundraising strategy for the Western region.About the Role:The Western Director of...

  • Corporate Counsel

    1 week ago

    Houston, Texas, United States CommonSpirit Health Full time

    About the RoleCommonSpirit Health is seeking a highly skilled Corporate Counsel - System Director to join our team. As a key member of our Legal Operations team, you will provide general legal services to one or more assigned CommonSpirit Operating Regions, including preparation, review, and revision of complex non-physician agreements and hospital-based...

  • Corporate Office Coordinator

    1 month ago

    Houston, Texas, United States Amerapex Full time

    Job SummaryThe Corporate Receptionist is the first point of contact for our company's corporate office, providing a professional and welcoming experience for visitors, clients, and colleagues alike. As a key member of our team, you will be responsible for managing the reception area, handling phone calls and messages, and providing administrative support to...

  • Senior Corporate Attorney

    2 days ago

    Houston, Texas, United States Jobot Full time

    Jobot is a leading North American energy producer focused on developing its multi-basin portfolio of oil, natural gas liquids, and natural gas producing plays.The successful candidate will be responsible for proactively leading legal work associated with public company governance, corporate securities, and corporate finance and compliance matters.Key...

Corporate Regional CaseMix Coordinator

2 months ago

Houston, Texas, United States Nexion Health Full time

Regional CaseMix Specialist

Nexion Health Management

Location: Corporate Regional Role

This position is centered around a corporate environment, focusing on the management of services for residents under managed care and Medicare.

Nexion affiliates operate numerous skilled nursing and rehabilitation facilities, as well as assisted living establishments across various states. Each facility is designed to provide a homely atmosphere that reflects the distinct cultural influences of its region. Our dedication to quality care is evident through our favorable clinical outcomes, positive feedback from residents and families, satisfaction metrics, and recognition through quality awards.

Position Overview:

The primary responsibility of this role is to oversee the delivery of services to residents enrolled in managed care and Medicare programs, collaborating closely with the facility's team members. The Regional CaseMix Specialist is tasked with monitoring and documenting the cost-effectiveness of treatments, facilitating the admission and discharge processes, advocating for residents and their families, and serving as a liaison to insurance and medical management professionals. Travel to designated facilities is a requirement.

Key Responsibilities:

  • Provide education to both new and existing facility staff regarding established Medicare and Medicaid policies and procedures.
  • Conduct regular audits of facilities to ensure compliance with Medicare and Medicaid regulations.
  • Guide facility staff on Medicare and Medicaid utilization in accordance with relevant guidelines.
  • Maintain knowledge of MDS coding and assist facilities in accurate coding and selection for MDS assessments.
  • Participate in state Medicaid audits and stay informed about state-specific regulations.
  • Supervise Casemix Managers to ensure adherence to compliance responsibilities.
  • Ensure that the quality of resident care meets or surpasses company and industry standards, while adhering to legal, regulatory, accreditation, and reimbursement guidelines.
  • Foster effective communication among program staff, facility personnel, referral sources, physicians, and residents.
  • Utilize resources from the company's regional offices for consultation and program development support, while also seeking external resources through conferences and workshops as necessary.
  • Exhibit adaptability in response to changes, resident needs, and customer expectations, while meeting company standards for deadlines and attendance.

Qualifications:

  • Graduate from an accredited nursing program.
  • Valid RN/LVN license in the state of employment (without restrictions).
  • Minimum of 5 years of experience with MDS.
  • Proficient in computer applications such as Excel and Word.
  • Willingness to travel extensively, including some overnight stays.
  • Experience with PCC is advantageous.

Benefits:

We provide a competitive salary along with a comprehensive benefits package, which includes: paid vacation and sick leave, medical, dental, and vision insurance, 401k plan, flexible spending accounts, health savings accounts, short-term and long-term disability insurance, accident and critical illness coverage, life insurance, and accidental death and dismemberment insurance.