Top 24 Utilization management Jobs in La Grange Tx

Regional BOM
Tikva Healthcare —Texas
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d
Regional MDS
Tikva Healthcare —Texas
- $80,000 - $100,000 a year
- Full-time
- Anatomy knowledge
- RN License
- HIPAA
- Travel reimbursement
- Health insurance
Quick Apply
9d
Discharge Planner
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Smithville, TX
- Full-time
- Mid-level
- 2 years
- Communication skills
- Loan repayment program
- Health insurance
Double Weekend RN Supervisor 8a-6p (Saturday & Sunday)
Trucare Living Centers Columbus —Columbus, TX
- From $35 an hour
- Part-time
- Serving
- Patient monitoring
- RN License
Quick Apply
10d
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance
$5K Sign-on! Regional MyoPro® Orthotist/Prosthetist - CA
Myomo, Inc —United States
- $90,000 - $120,000 a year
- Full-time
- Microsoft Outlook
- 3 years
- Neurology
Quick Apply
Physician Assistant/Nurse Practitioner (D), CVOR - Regional
Corewell Health —United States
- Weekends as needed
- Acute care
- Nursing
- Surgery
- Free parking
- Paid holidays

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Regional MDS
Tikva Healthcare —Texas
This vital role ensures compliance with federal and state regulations, enhances clinical documentation accuracy, and promotes optimal patient care outcomes.
$80,000 - $100,000 a year
Quick Apply
9d
Director of Rehabilitation
Reliant Rehabilitation —Sealy, TX
Maintain a valid state license (as applicable) and stay informed on industry trends and regulatory changes. Through effective leadership and strategic oversight…

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VRCC Director, Business Office
SUN Behavioral Health —Columbus, OH
Effectively utilizes and understands the departmental computer system to realize its optimal potential and to be able to evaluate and answer staff member…
Dental Office Manager
Norton Family Dental —Columbus, OH
As the driving force behind practice management, you will oversee staff supervision, financial management, compliance with dental regulations, and the efficient…
From $26 an hour
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utilization management jobs near la grange tx

Regional BOM

Tikva Healthcare
Texas

Quick Apply

Job Details

Full-time
$50,000 - $60,000 a year
9 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Excel
Long term care experience
Microsoft Outlook
Medicare
Nursing home experience
Operations management
Team leadership
Health insurance policy knowledge
Patient management software
Electronic health record (EHR) management for billing and coding
Medical billing data analysis
Centers for Medicare and Medicaid Services (CMS)
Data interpretation
Leading team collaboration initiatives
Healthcare team management
Healthcare financial management
Medicaid regulations
Process management
Healthcare compliance
Financial compliance

Full Job Description

Overview

We are seeking a dynamic and detail-oriented Regional BOM Manager to lead and oversee the billing operations across multiple healthcare facilities within a designated region. This pivotal role involves ensuring compliance with all medical billing regulations, managing revenue cycle processes, and optimizing revenue streams. The ideal candidate will possess a strong background in healthcare billing management, team leadership, and a comprehensive understanding of insurance and government program regulations such as Medicare and Medicaid. Join us to drive efficiency, accuracy, and compliance in our regional billing functions while supporting the financial health of our healthcare organization.

Responsibilities

Lead and coordinate regional billing teams to ensure accurate and timely submission of medical claims across hospitals and clinics.
Oversee compliance with all relevant medical billing regulations, including Medicare, Medicaid, and private insurance third-party billing standards.
Manage the implementation and utilization of billing software and electronic health records (EHR) systems to streamline revenue cycle processes.
Ensure adherence to healthcare coding standards, to facilitate precise medical coding and billing.
Monitor hospital revenue cycle management activities, identifying areas for process improvement and implementing best practices.
Provide training, mentorship, and performance evaluations for team members to foster a high-performing billing department.
Collaborate with clinical staff, finance teams, and third-party payers to resolve billing discrepancies and optimize cash flow.
Stay updated on evolving healthcare billing regulations and industry trends to maintain compliance and operational excellence.

Qualifications

Proven experience in healthcare billing management with a strong understanding of hospital revenue cycle processes.
Long Term Nursing Home Experience
In-depth knowledge of medical billing regulations, including Medicare and Medicaid requirements.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and familiarity with various billing software platforms.
Experience managing teams within a healthcare setting, demonstrating leadership skills and effective communication.
Strong understanding of health insurance policies, electronic health records (EHR) management, medical coding (ICD), and insurance third-party billing procedures.
Knowledge of healthcare compliance standards related to medical coding, billing regulations, and revenue cycle management.
Ability to analyze data reports to identify trends, discrepancies, or opportunities for process enhancements.

Join us as a Regional BOM Manager to play a vital role in ensuring our healthcare facilities operate smoothly financially while maintaining the highest standards of compliance!

Pay: $50,000.00 - $60,000.00 per year

Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: On the road

Quick Apply

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utilization management jobs in la grange tx

Regional BOM

Regional MDS

Discharge Planner

Double Weekend RN Supervisor 8a-6p (Saturday & Sunday)

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Family Medicine Medical Director Utilization Management

$5K Sign-on! Regional MyoPro® Orthotist/Prosthetist - CA

Physician Assistant/Nurse Practitioner (D), CVOR - Regional

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