Healthcare Coordination Specialist
7 days ago
Care Coordinators play a vital role in supporting the coordination of clinical objectives for patient referrals towards exceptional performance at Nexus Health Systems. The successful candidate will have financial and clinical accountability over referral protocols, working collaboratively with clinical and non-clinical departments to meet organizational objectives.
Key Responsibilities:
•Maintain utmost confidentiality at all times
•Adhere to health system policies and procedures
•Responsible for promoting adherence to applicable State/Federal laws and regulations
•Provides support to team members and utilizes critical thinking to minimize insurance denials and appeals
•Evaluates incoming referrals and identifies appropriate programming based on clinical presentation
•Develops clinical summaries to support recommended clinical programming
•Maintains referral correspondence within a centralized database
•Responsible for timely research and evaluation of Medicaid, Medicare regulations, as well as Commercial Payer regulations
•Participate in denials and appeals as it relates to clinical justification or documentation
Requirements:
•Associate's degree in nursing (RN) or Bachelor of Science in Nursing (BSN)
•Two (2) years of healthcare experience in a clinical review setting
•Certified Revenue Cycle Representative (CRCR) preferred
Estimated Salary:$65,000 - $85,000 per year
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Healthcare Relations Coordinator
5 days ago
Houston, Texas, United States Vibra Healthcare Full timeTop Pay for Top Talent: $60,000 - $80,000/yearVibra Healthcare is a leading healthcare provider dedicated to delivering exceptional patient care and services. We are seeking an experienced Payer Relations Specialist to join our team.This role is critical in ensuring reimbursement for services provided to patients, working closely with insurers, managed care...
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Home Healthcare Nurse Specialist
1 week ago
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Houston, Texas, United States UnitedHealth Group Inc. Full timeCompany Overview: UnitedHealth Group is a leader in the healthcare industry, dedicated to improving health outcomes and making the healthcare system work better for everyone.We are committed to creating a healthier atmosphere by promoting diversity, equity, and inclusion. Our mission is to help people live healthier lives, and we believe that everyone...
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Healthcare Professional
7 days ago
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Healthcare Operations Coordinator
3 days ago
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Home Healthcare Nurse Specialist
7 days ago
Houston, Texas, United States Aveanna Healthcare Full timeMake a Difference in the Lives of Our PatientsAveanna Healthcare is seeking a compassionate and dedicated Home Healthcare Nurse Specialist to join our team. As a key member of our care team, you will play a vital role in providing high-quality patient care and support to individuals in their homes.We offer a competitive salary of $29.00 - $35.00 per hour,...
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Travel Healthcare Specialist
6 days ago
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Administrative Healthcare Coordinator
3 days ago
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Home Healthcare Nurse Specialist
7 days ago
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Healthcare Reimbursement Specialist
1 week ago
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Mobile Healthcare Specialist
1 week ago
Houston, Texas, United States Planet Healthcare Full timeJob OverviewPlanet Healthcare is seeking a qualified Mobile Healthcare Specialist to join their team in Houston, Texas.About the RoleThis 13-week contract position offers a tax-free stipend and benefits package including medical, vision, dental, and 401k retirement plan. The successful candidate will work on an 8-hour shift, 40 hours per week, with...
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Healthcare Reimbursement Specialist
7 days ago
Houston, Texas, United States Regency Integrated Health Services Full timeJob SummaryWe are seeking a highly skilled Healthcare Reimbursement Specialist to join our team at Regency Integrated Health Services. This role will be responsible for ensuring accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, and other payer program requirements.About the JobThe successful candidate will have a...
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Travel Healthcare Specialist
3 days ago
Houston, Texas, United States Go Healthcare Full timeJob SummaryWe are seeking a highly skilled Travel Healthcare Specialist to join our team at Go Healthcare in Houston, Texas.About the JobThis is a 13-week assignment with a guaranteed 36 hours per week, working 12 hours, nights. The job requires expertise in Labor and Delivery as an RN.Key ResponsibilitiesSpecialize in providing care for patients in Labor...
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Advanced Healthcare Specialist
1 week ago
Houston, Texas, United States UTHealth Full timeWork with us at UTHealth Houston, a leading institution in healthcare education and innovation. As an Advanced Healthcare Specialist, you will play a crucial role in providing exceptional patient care.About UsWe are committed to excellence in patient care, scientific discovery, and healthcare education. Our total rewards package includes:100% paid medical...
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Healthcare Transformation Specialist
3 days ago
Houston, Texas, United States CVS Health Full timeJob SummaryWe are seeking a skilled Healthcare Transformation Specialist to join our Community Care team at CVS Health.About the RoleThis is an exciting opportunity for a professional with expertise in clinical operations and patient care management to make a meaningful impact on our members' health outcomes. As a Healthcare Transformation Specialist, you...
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Healthcare Administrative Specialist
6 days ago
Houston, Texas, United States Ethos Behavioral Health Group LLC Full timeJob OverviewEthos Behavioral Health Group LLC is seeking a detail-oriented and organized Healthcare Administrative Specialist to join its team in Woodway. This role is responsible for collecting patients' financial responsibilities and performing non-clinical administrative duties.Key Responsibilities:Financial Communication: Assist with communicating...
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Houston, Texas, United States ALOIS Healthcare Full timeSeeking a skilled Communication Specialist to join our team at ALOIS Healthcare in Houston, Texas.About the RoleThis is an exciting opportunity to work as a Speech Language Pathologist with our healthcare organization. As a Speech Language Pathologist, you will evaluate patients' speech, language, or swallowing difficulties and create personalized treatment...
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Physical Therapist
1 week ago
Houston, Texas, United States Healthcare Support Full timeJob Title:Physical Therapist - Healthcare SpecialistAbout the Job:We are seeking a highly skilled Physical Therapist to join our team at Healthcare Support. This is a fantastic opportunity for a motivated and compassionate individual to work with patients and provide top-notch care.Job Description:This travel Physical Therapist position is located in...
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Mobile Healthcare Specialist
1 week ago
Houston, Texas, United States Healthcare Support Full timeHealthcare Support, a reputable healthcare employment partner, is seeking a skilled Physical Therapist for a travel assignment in Houston.We offer an attractive compensation package with an estimated weekly salary of $2249.2 (gross) and a local hourly rate ranging from $49.42 to $50.42 per hour.About the JobThis 13-week contract requires a dedicated Physical...
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Healthcare Infusion Specialist
1 week ago
Houston, Texas, United States Option Care Health Full timeJob OverviewAn exciting opportunity awaits a skilled and compassionate Healthcare Infusion Specialist to join our team at Option Care Health. In this role, you will play a vital part in delivering exceptional patient care, working closely with healthcare professionals to provide personalized treatment plans.ResponsibilitiesDevelop and implement intermediate...