Wellness Director Rosemont Find your joy here, at Rosemont, a Sonida Senior Living community! We offer a comprehensive benefit package to include competitive wage/salary, health and dental insurance, 401k with company match & much more! Posted 5 hours ago Revenue Cycle Specialist Vitalogy Skincare Position Summary: The Revenue Cycle Specialist is responsible for correcting, completing and processing claims of all payer codes. They are also required to generate reports from the EHR in accordance with established procedures. Work accounts receivables from time dropped to when the payment is received; to include commercial payers, government payers, and self-pay. Posted 5 hours ago LVN/RN Charge Nurse (CS) Park Manor of Cypress Station Are you a dedicated Registered or Licensed Vocational Nurse passionate about long term care and looking for a progressive career in healthcare? Do you want to work with a *leader in the rehabilitation *arena, *specializing in long term care*? As a Charge Nurse you will assess resident needs, develop individual care plans, administer nursing care, evaluate nursing care and supervise Certified Nursing Assistants (CNAs) in the delivery of nursing care. In this role, you will be involved in hiring, orientation and monitoring the nursing staff and training them to do their best while working closely with doctors, administering medications and maintaining accurate documentation of treatment. Posted 5 hours ago Revenue Cycle Manager U.S. Dermatology Partners Develops a cohesive work unit, consisting of the Business Office, Insurance, and Billing functions, by managing their daily operations, employees and other functions. Manages all activities of these functions, focusing on coordinating their employees, processes and procedures to provide consistency in initial and ongoing training, timely and accurate reporting and auditing, and quality patient relations services. Posted 5 hours ago SR MANAGER REPLENISHMENT Sally Beauty Holdings Responsible for management of replenishment merchandise – the replenishment process and quantity allocation from forecast to PO for assigned businesses. Lead replenishment planners and train, develop and guide replenishment process. Allocate associate resources effectively in a fluid environment while also taking ownership of replenishment process for subset of the business. Partner with merchandise Director to manage open to buy, category distortions and allocate inventory dollars effectively to drive the business. Drive consistency in sku FC and replenishment through the Replenishment planners that align with AOR goals. Manage the preplanning process and asset allocation to identify and drive grow / maintain / decline businesses. This position is a hybrid role, reporting into the corporate office in Denton TX on Tuesdays and Wednesdays of each work week. Posted 5 hours ago Sr. Auto Tech (Up to $45/HR flag) Driver's Edge Auto Repair Driver's Edge Auto Repair has delivered fast and easy service for over 10 years. We proudly serve the greater Dallas & Fort Worth areas and provide great service on an array of automotive services, optimizing performance utilizing proven processes inside of a systematic approach to automotive repair. Posted 5 hours ago Home Health RN Case Manager-Dayton, Tx EasyHiring Interim HealthCare, one of the nation’s leading providers of home care, is now seeking a Full Time Home Health RN for the Liberty/Dayton area to join the team. Expand your career and apply today ! *Benefits at Interim Healthcare for Case Managers* * Competent and reliable in- office clinical support team. * Weekly pay. * Supplies delivered to your home plus multiple supply stations throughout the Houston area. * Benefits. * Electronic device provided for charting with cellular capability. * Opportunity for bonus pay. *Responsibilities of the Home Health Registered Nurse (RN) Case Manager include:* * Supervise and manage patient’s care episode from admission to discharge. * Coordinate patient’s care with other clinical staff and appropriate medical providers. * Perform home health admission visits, resumptions, recertifications, and discharges. * Record, assess and observe patient progress, reactions and symptoms. * Assess the needs of patient and develop plan of care based on assessment. * Check vital signs of patients, give injections, administer medication and dress wounds. * Educate patients in line with physician recommendations. * Document care in a patient record in accordance with agency, state and federal guidelines. * Provide home care to patients after illness, injury or surgery or with acute health conditions or patients who are being treated with pharmaceuticals. *Requirements of the Home Health Registered Nurse (RN) Case Manager* * Graduation from an accredited nursing school and a current, valid RN license registered in the state of Texas. * OASIS training. * Driver's License. * Willingness to travel throughout assigned territory. * 1 year of home health nursing experience required. Job Type: Full-time Application Question(s): * OASIS training. Driver's License. Willingness to travel throughout assigned territory. Experience: * health nursing: 1 year (Required) Ability to Relocate: * Seabrook, TX: Relocate with an employer provided relocation package (Required) Work Location: On the road %71386158% %%mednurse%% Posted 6 hours ago Appeals and Grievance Nurse Registered Nurse II PRN Christus Health Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials. Working with Case Management leadership, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency and mitigate lost revenue related to medical necessity denials. Key Performance and trends related to denials/appeals will be reported to the facility. Posted 6 hours ago Patient Financial Specialist - Spohn Medical Offices Christus Health Responsible for the duties and services that are of a support nature to the RCBS High Performance Work Teams. Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as, cash posting, customer service, data entry and reviewing of claims for proper billing/collections. Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. In doing so, ensures that all claims billed and collected meets all government mandated procedures for Integrity and Compliance. Performs billing, collections and reimbursement services in a prompt and efficient manner. Provides thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documents, forwards, resolves incoming mail and correspondence. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission if related to diagnosis, charge and/or other clinical type data that RCBS would not have knowledge of. Ensures all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Responsible to ensure successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000. Posted 6 hours ago Appeals and Grievance Nurse Registered Nurse II - Clinical Appeals Christus Health Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials. Working with Case Management leadership, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency and mitigate lost revenue related to medical necessity denials. Key Performance and trends related to denials/appeals will be reported to the facility. Posted 6 hours ago
