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Healthcare
Full Time
5/16/2018
Houston
Human Resource Administrator
BRAZOS PRESBYTERIAN HOMES
Human Resource Administrator Brazos Presbyterian Homes welcomes all professionals to apply for one of our career opportunities. The employees in our communities are professionals who believe in our philosophy of service, and are the first point of contact in fulfilling our mission to provide the best to seniors. We offer comprehensive benefits and a working environment with a purpose, to help residents live the retirement of which they have dreamed. Health Insurance Dental Insurance Vision Insurance Flexible Spending Accounts Employee Discount Meal Plans Sick, Vacation and Paid Holidays 403B Plan Free Parking ---------------------------------------- 2 LOCATIONS! • 4718 Hallmark Dr. Houston, TX. 77056 • 4141 South Braeswood Blvd. Houston, TX. 77025 EOE
Full Time
5/16/2018
Houston
BE A HERO EVERY DAY
ResCare
ResCare is now hiring Direct Support Professionals for Houston and the surrounding areas. NO EXPERIENCE NECESSARY! Are you passionate about helping others? Don’t miss this opportunity to find career success and fulfillment while you help people reach their highest level of independence! Apply today! ResCare. Where Care Meets Career. We have an exciting opportunity for you to join our team as a Direct Support Professional. In the position, you will play a vital role in helping our clients with intellectual, cognitive, or developmental disabilities achieve their highest level of independence. Not only will you see positive results of your work every day, but you will have an opportunity for professional development and advancement to positions of greater responsibility. Many leaders with ResCare began their careers as Direct Support Professionals. Performing personal care tasks, including assistance with basic personal hygiene and grooming, feeding, and ambulation, medical monitoring, and health care related tasks. Fostering positive relationships between individuals served and their housemates Ensuring client safety and maintaining a safe environment Assisting with toileting, including bedpans, urinals, and commode chairs Reminding/assisting client with self-administration of medications (with proper training) Encouraging self-help activities Reporting changes in client's condition or family situation to the office Documenting services provided Performing home management functions such as light housekeeping, laundry, bed making, and cleaning Planning meals, shopping for groceries, preparing and serving food/meals, feeding and clean-up Accompanying client to scheduled appointments Transporting clients or running errands for clients In addition to meeting your passion for making a difference in people's lives and career advancement, opportunities you may also be offered: Competitive pay based on experience Medical, Dental, Vision Benefits Suite of voluntary insurance options 401(k) Paid Time Off Holidays Predictive Full-time, 40 Hour Plus Schedule Part-time and On-call shifts available (less than 30 hours) Don't miss this opportunity to find career success and fulfillment while you assist people to reach their highest level of independence. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
Full Time
5/16/2018
2 Locations
MULTIPLE POSITIONS
BRAZOS PRESBYTERIAN HOMES
Every Tuesday HIRING EVENTS: 10am - 2pm CNAs/CMAs All Shifts Including Weekends RN/LVN All Shifts WAITSTAFF/SERVERS Experience Required PORTERS/FOOD SERVICE No Experience Required MAINTENANCE TECH PORTER/HOUSEKEEPER HOUSEKEEPER/FLOOR TECH ---------------------------------------- 2 LOCATIONS! • 4718 Hallmark Dr. Houston, TX. 77056 • 4141 South Braeswood Blvd. Houston, TX. 77025 EOE
Full Time
5/9/2018
Houston
Patient Ambassador
Sodexo CHI St. Lukes Medical Center
Job Overview: The Patient Ambassador is responsible for providing nutritional care to patients by spending quality patient time assisting in menu selection when necessary, providing patient meal delivery and patient set-up with direct patient contact, receiving and processing phone orders as required, and identifying patients who have not ordered meals with the assistance of the tray tracking system. The Patient Ambassador makes meal rounds and collects survey information. They will update the food preference and nourishment information and relay pertinent information to the Clinical Dietitian or Supervisor. The general responsibilities of the position include those listed below, but Sodexo may identify other responsibilities of the position. These responsibilities may differ among accounts, depending on business necessities and client requirements. General Responsibilities: Introduces Room Service and explains diet order to new admissions. Classifies patient as Room Service, Room Service with Assist or Chef Select. Assists patients classified as Room Service with Assist. Assists Registered Dietitians with 24-hour screening of new admissions. Acts as liaison between Nursing and Dietary. Prints Ambassador Report with patient name, room, diet and admission date. Reviews report for patients advanced from NPO/Clear/Full diets. Visits all newly admitted patients on advanced diets. Introduces self as the unit's Patient Ambassador and provides contact number/beeper. Identifies current diet order and explains room service to new patient. Explains times patient may call to obtain meal. Explains, if needed, the availability of large print and Spanish menu. Collaborates with nursing whether patient is: Room Service, Room Service with Assist or Chef Select. Documents, resolves or refers any complaints/concerns the patient and/or family members may have. Conducts daily meal rounds. Records patient, diet, room number and comments daily. Notes when patient will be revisited if needed and why. Daily check with unit rep on current room service status. Conducts 2 test trays per week and meal rounds. Works with managers/supervisors in Process Improvement projects. Works with patient promotions as necessary. Fills in as needed in diet office and kitchen. Attends all allergy and foodborne illness in-service training. Complies with all Sodexo HACCP policies and procedures. Complies with all company safety and risk management policies and procedures. Participates in regular safety meetings, safety training and hazard assessments. Reports all accidents and injuries in a timely manner. Attends training programs (classroom and virtual) as designated. May perform other duties and responsibilities as assigned.
Full Time
5/9/2018
The Woodlands
Patient Ambassador
Sodexo CHI St. Lukes - The Woodlands
Job Overview: The Patient Ambassador is responsible for providing nutritional care to patients by spending quality patient time assisting in menu selection when necessary, providing patient meal delivery and patient set-up with direct patient contact, receiving and processing phone orders as required, and identifying patients who have not ordered meals with the assistance of the tray tracking system. The Patient Ambassador makes meal rounds and collects survey information. They will update the food preference and nourishment information and relay pertinent information to the Clinical Dietitian or Supervisor. The general responsibilities of the position include those listed below, but Sodexo may identify other responsibilities of the position. These responsibilities may differ among accounts, depending on business necessities and client requirements. General Responsibilities: Introduces Room Service and explains diet order to new admissions. Classifies patient as Room Service, Room Service with Assist or Chef Select. Assists patients classified as Room Service with Assist. Assists Registered Dietitians with 24-hour screening of new admissions. Acts as liaison between Nursing and Dietary. Prints Ambassador Report with patient name, room, diet and admission date. Reviews report for patients advanced from NPO/Clear/Full diets. Visits all newly admitted patients on advanced diets. Introduces self as the unit's Patient Ambassador and provides contact number/beeper. Identifies current diet order and explains room service to new patient. Explains times patient may call to obtain meal. Explains, if needed, the availability of large print and Spanish menu. Collaborates with nursing whether patient is: Room Service, Room Service with Assist or Chef Select. Documents, resolves or refers any complaints/concerns the patient and/or family members may have. Conducts daily meal rounds. Records patient, diet, room number and comments daily. Notes when patient will be revisited if needed and why. Daily check with unit rep on current room service status. Conducts 2 test trays per week and meal rounds. Works with managers/supervisors in Process Improvement projects. Works with patient promotions as necessary. Fills in as needed in diet office and kitchen. Attends all allergy and foodborne illness in-service training. Complies with all Sodexo HACCP policies and procedures. Complies with all company safety and risk management policies and procedures. Participates in regular safety meetings, safety training and hazard assessments. Reports all accidents and injuries in a timely manner. Attends training programs (classroom and virtual) as designated. May perform other duties and responsibilities as assigned.
Part Time
5/9/2018
$10.00 to $12.00 / hr
Chiropractic Assistant
Champion Chiropractic Center
Are you an energetic, cheerful, outgoing, detail oriented professional who loves to interact with patients and be part of a great team? Responsibilities include: Good phone presence, greet patients and schedule them. Build and maintain relationships with patients Doctor assistance and back office preparation Collect/post payments, verify insurance, data entry, maintain cleanliness and organization Punctual multi-tasker
Full Time
5/2/2018
The Woodlands
RN-ICU (7p-7a) Full Time
CHI St. Luke's
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives! As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: Monitoring patients’ conditions and assessing their needs Collaborating with physicians and nurses to devise individualized care plans for patients Administering patients’ medications and providing treatments according to physicians’ orders Fostering a supportive and compassionate environment to care for patients and their families We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Requisition Title-2018-R0161454
Full Time
5/2/2018
Houston
Registered Nurse II (Transplant) Nights
CHI St. Luke's
Baylor St. Luke’s Medical Center A quaternary care facility that is home of the Texas Heart® Institute, a world-class cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD–consistently ranked as one of the nation’s best in Cardiovascular Services & Heart Surgery. The Registered Nurse II practices as a full partner on the multidisciplinary team. Independently plans, implements, and evaluates patient care and performs related duties as required. Assesses patient's needs for nursing care, assures continuity of care through appropriate discharge planning, patient education and coordination of services, and acts as a patient and family advocate. Demonstrates and models the full range of nursing professional practice in both patient care provided and in development of strategies to improve patient outcomes, satisfaction, and cost effectiveness at the unit level. We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Requisition Title-2018-R0153964
Full Time
5/2/2018
Livingston
Medical Technologist - Livingston
CHI St. Luke's
Responsible for performing complex laboratory testing on specimens under the direction of Medical Director and Director of Laboratory Services to aid in the diagnosis and treatment of patients. Accurately processes, analyzes and reports all tests ordered in a timely manner to aid in the diagnosis and treatment of patients. Responsible for proper maintenance of equipment, accreditation, and Departmental Performance Improvement. Responsible for organizing work load as assigned. Displays professional, safe conduct in all interactions. Maintains positive working relationships with staff, other departments, physicians and peers. Displays conduct in support of CHI St. Luke’s Health Memorial Mission & Vision. We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Requisition Title-1700000763
Full Time
5/2/2018
Houston
Manager Operations - Supply Chain
CHI St. Luke's
CHI St. Luke's Health–The Vintage Hospital provides high quality, compassionate care for residents of the Tomball and Northwest Houston areas. The Vintage Hospital offers the latest in diagnostic and surgical expertise, including heart care, women’s health, and orthopedics. The Manager of Operations is primarily responsible for supervising and evaluating all supply distribution functions for an assigned facility or facilities within CHI’s system. Responsible for managing appropriate inventory levels, supply expense, distribution, shipping, receiving, and stocking of medical supplies of a given facility/facilities and providing stewardship of contract compliance. Manager prepares and submits facility budget and ensures operations do not exceed budget. Additional responsibilities include training, coaching, and professionally developing subordinates and serving as the liaison between given facility/facilities and division supply chain leadership. We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Requisition Title-2018-R0145147
Full Time
5/2/2018
Clear Lake
Nursing Assistant Classes!
Active Nursing Assistant Training of Clear Lake

DAY & NIGHT Skill courses available:

• CNA

• ER Technician

• Phlebotomy

• Acute Care

• EKG Now enrolling, classes fill quickly!

Full Time
5/2/2018
Houston
Registered Nurse II (Inpatient Surgical Unit) Nights
CHI St. Luke's
Baylor St. Luke’s Medical Center A quaternary care facility that is home of the Texas Heart® Institute, a world-class cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD–consistently ranked as one of the nation’s best in Cardiovascular Services & Heart Surgery. The Registered Nurse II practices as a full partner on the multidisciplinary team. Independently plans, implements, and evaluates patient care and performs related duties as required. Assesses patient's needs for nursing care, assures continuity of care through appropriate discharge planning, patient education and coordination of services, and acts as a patient and family advocate. Demonstrates and models the full range of nursing professional practice in both patient care provided and in development of strategies to improve patient outcomes, satisfaction, and cost effectiveness at the unit level. We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Requisition Title-2018-R0159052
Full Time
4/30/2018
The Woodlands
COMPASSIONATE CAREGIVERS - The Woodlands
SureCare At Home
IMMEDIATE OPENINGS! Why Work For SureCare At Home? Compassionate Work Environment Inclusive and Supportive Culture Resources Available to be the Best at What You Do Ongoing Training by Registered Nurses and Online Great Pay Medical Benefits Bonus Programs Direct Deposit Paid Weekly Premium Holiday Pay 24 Hour On-Call Support For Immediate Consideration click "Apply Now" To Send Resume. To learn about our company visit surecareathome.com
Full Time
4/26/2018
Tomball
Medical Professionals Needed
Tomball Rehab & Nursing
RNs CNAs LVNs CMAs DIETARY AIDE DIETARY COOK RN or LVN w/MDS exp. (Skilled & Rehab) SOCIAL WORKER - Texas Licensed
Full Time
4/25/2018
Tomball
Come Join Our Team
Lawrence Street Healthcare
CNA's Day and Evening Shift PRN CNAs LICENSED NURSES PRN DIETARY AIDE COOK
Full Time
4/24/2018
CNAs
West Janisch - Health Care Center
A progressive Health Care Center in the Heights is looking for caring staff to fill the following position: CNAs Available shifts: 6am-2pm & 2pm-10pm Weekend Doubles!
Full Time
4/19/2018
Houston
Registered Nurse - Residential Services
ResCare
Join us in transforming peoples' lives and their communities! ResCare is a one-of-a-kind human services company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job placement for people of all ages and skill levels. Right now, we have an exciting opportunity for you to join our team as a Registered Nurse. Are you passionate about helping others? Don’t miss this opportunity to find career success and fulfillment while you help people reach their highest level of independence! Apply today! ResCare. Where Care Meets Career. Registered Nurse Responsibilities The Registered Nurse is responsible for providing care and treatment for clients that are experiencing significant mental health/psychiatric symptoms, who are demonstrating significant functional impairments, and who may have co-occurring substance abuse and/or personality disorder. Attends and actively participates in weekly team meetings Provides rehabilitation and coordinates medical needs for clients Medication Monitoring and Administration by oral medication or needle injections Medication training for staff Orders, reviews, monitors, and discontinues medications as ordered by the physician Assists with keeping within assigned nursing budget Conducts assessments Approves plan of care and service delivery methods Performs competency and skills evaluations on employees who provide direct care Informs the physician and staff of changes in the client's medical or mental condition and needs Coordinates psychiatric information with the psychiatric rehabilitation practitioners Writes progress notes, summaries, and discharges Group and Individual Counseling Case Management Implements the treatment/rehabilitative activities and strategies Crisis Prevention Reports significant/major incidents or accidents Provides and arranges necessary medical services to ensure consumer health and safety Follows consumer health plans Provides and promotes consumer choice and facilitate independence Assists with ensuring compliance with contractual, legal, and regulatory requirement Performs other duties designed to improve employee effectiveness as a member of the team Promotes/encourages community integration and choice making Dependable Conducts self in professional and ethical manner Willing to assist others Works independently and with a team Handles information in a confidential manner Communicates in an open and honest manner Notifies proper authorities of circumstances or situations that present possible health hazards Assists in maintaining and updating nursing, pharmacy, infection control, and health and safety policies and procedures Other tasks as assigned Benefits In addition to meeting your passion for making a difference in people's lives and career advancement, opportunities you may also be offered: Competitive pay based on experience Medical, Dental, Vision Benefits Suite of voluntary insurance options 401(k) Paid Time Off Holidays Performance incentives Company Discount Purchasing Program Cell phone Service Ford and Chrysler Automobiles Furniture Appliances Staples discounts Employee Assistance Program Legal Assistance Program Tuition Reimbursement Predictive Full-time, 40 Hour Plus Schedule Part-time and On-call shifts available (less than 30 hours) Don't miss this opportunity to find career success and fulfillment while you assist people to reach their highest level of independence. ResCare is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
Full Time
4/19/2018
Houston
Quality Assurance Specialist
ResCare
Join us in transforming peoples' lives and their communities! ResCare is a one-of-a-kind human services company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job placement for people of all ages and skill levels. Right now, we have an exciting opportunity for you to join our team as a Quality Assurance Specialist. Are you passionate about helping others? Don’t miss this opportunity to find career success and fulfillment while you help people reach their highest level of independence! Apply today! ResCare. Where Care Meets Career. Quality Assurance Specialist Responsibilities Conducts case file and record reviews for compliance and identifies opportunities for improvement or corrective actions. Conduct random case file/record reviews on a weekly basis using computer auditing checklist to ensure contractual performance expectations are met. Submit weekly QA reports and submit in a timely manner to Project Director Present consistent feedback to management regarding areas that need improvement Ensure 100% of clients participate in the client satisfaction survey Ensure all clients receive a return call within 24 hours of calling and leaving a message. Other duties as assigned Benefits In addition to meeting your passion for making a difference in people's lives and career advancement, opportunities you may also be offered: Competitive pay based on experience Medical, Dental, Vision Benefits Suite of voluntary insurance options 401(k) Paid Time Off Holidays Performance incentives Company Discount Purchasing Program Cell phone Service Ford and Chrysler Automobiles Furniture Appliances Staples discounts Employee Assistance Program Legal Assistance Program Tuition Reimbursement Predictive Full-time, 40 Hour Plus Schedule Part-time and On-call shifts available (less than 30 hours) Don't miss this opportunity to find career success and fulfillment while you assist people to reach their highest level of independence. ResCare is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
Full Time
4/19/2018
Houston
Licensed Clinical Social Worker - Rehab Without Walls
ResCare
Join us in transforming peoples' lives and their communities! ResCare is a one-of-a-kind human services company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job placement for people of all ages and skill levels. Right now, we have an exciting opportunity for you to join our team as a Licensed Clinical Social Worker - Rehab Without Walls. In this position, you will play a vital and positive role in helping our clients with intellectual, cognitive, or developmental disabilities achieve their fullest potential. Are you passionate about helping others? Don’t miss this opportunity to find career success and fulfillment while you help people reach their highest level of independence! Apply today! ResCare. Where Care Meets Career. Licensed Clinical Social Worker - Rehab Without Walls Responsibilities Provides direction, supervision and evaluation of medical social services to patients in the home to ensure compliance with state practice act(s) and ResCare policies and procedures, applicable healthcare standards, governmental laws and regulations. Works under general supervision. Abides by and demonstrates the company Mission – Vision – Values through both behavior and job performance on a day-to-day basis. Instructs, treats, observes and evaluates patients exhibiting significant social and emotional problems affecting their health status. Assists the physician and other health team members in understanding the significant social and emotional factors related to the patient’s health problems. Participates in the development and periodic re-evaluation of the physicians Plan of Treatment for patients needing social work services. Utilizes special skills and judgment to resolve social and emotional responses connected with the illness. Observes, records and reports changes in patients' condition and response to treatment to Clinical Manager and the physician. Participates in the discharge planning process. Instructs/counsels patients and families in treating and coping with social and emotional response connected with illnesses. Provides ongoing assessment of patient and family needs and responses to teaching. Participates in care coordination activities and acts as a resource to other health team members in the identification and resolution of patient needs. Utilizes appropriate community resources to achieve identified objectives. Supervises, instructs and evaluates the performance of the Social Work Assistant (BSW) to assure that all medical social services are provided to patients in compliance with Company, government and professional standards. Maintains and submits documentation as required by the Company and/or facility including any case conferences, patient/physician/community contacts, visit reports, progress notes, and confers with other health care disciplines in providing optimum patient care. Attends, participates in and/or conducts internal staff development programs, obtains continuing education as required by Company policies and regulations. Maintains and enhances clinical practice skills. Maintains the highest standards of Professional conduct in relation to information that is confidential in nature. Shares information only when recipient's right to access is clearly established and the sharing of such information is in the best interest of the patient. Participates in Performance Improvement activities as assigned. Communicates information that enables data collection and root cause analysis to identify opportunities for improvement. Adheres to and participates in Company’s mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs / practices. Reviews and adheres to all Company policies and procedures and the Employee Handbook. Participates in special projects and performs other duties as assigned. Benefits In addition to meeting your passion for making a difference in people's lives and career advancement, opportunities you may also be offered: Competitive pay based on experience Medical, Dental, Vision Benefits Suite of voluntary insurance options 401(k) Paid Time Off Holidays Performance incentives Company Discount Purchasing Program Cell phone Service Ford and Chrysler Automobiles Furniture Appliances Staples discounts Employee Assistance Program Legal Assistance Program Tuition Reimbursement Predictive Full-time, 40 Hour Plus Schedule Part-time and On-call shifts available (less than 30 hours) Don't miss this opportunity to find career success and fulfillment while you assist people to reach their highest level of independence. ResCare is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
Full Time
4/17/2018
Houston
Medicare Collector IV
Christus Health
Requisition Number 70023343 POSITION SUMMARY: Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution, and includes communication to patients, clients, reimbursement vendors, and other external entities while adhering to all client, state and federal guidelines. Patient and client satisfaction is essential. Associates in the collection unites are expected to knave knowledge of the overall collection work processes for the both active AR and BD inventory. JOB RESONSIBILITIES: Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA's business objectives Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to their area of operation. Documents and updates patient account information in TLRA's collection software system timely and accurately to include appropriate account status. Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues and request. Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards. Performs research and analysis of account issues and strives to resolve problems timely and accurately. Ensure daily productivity standards are met. Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families. Performs other special projects as required when assigned. Collections -- Traditional Government Insurance Maintains active knowledge of all collection requirements by payors. Collects balance owing from third party payers in accordance with State and Federal laws governing collections practices. Ensures that colletion efforts are thorough with overall objective being to collect outstanding balances in an eithical manner. Ensures established quality standards are met and proper documentation regarding patient accounting records. Contacts other departments to obtain necessary information for appeals, pending informaton and any other issues that impact and/or delay claim processing. Provides effective and timely collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA's business objectives. Validates claim payments to ensure claims are paid according to contract and/or payment methodology guidelines. Correct claims in RTP status in either CCSM or DDe per Medicare guidelines. Initiate Medicare Redetermination, Reopening, and/or Reconsideration as needed.
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