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Remote Medical Monitoring Jobs in Texas (NOW HIRING)

CareVitality Inc

Care Manager - Remote

Houston, TX · Remote

$60K - $77K/yr

... medical record. * Provide Chronic Care Management (CCM) patients with appropriate education ... May gather patients consent for various care management and remote monitoring programs * Perform ...

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All JobsMedical Monitoring JobsRemote Medical Monitoring JobsRemote Medical Monitoring Jobs in Texas

Remote Medical Monitoring information

What is the difference between Remote Medical Monitoring vs Remote Patient Monitoring?

AspectRemote Medical MonitoringRemote Patient Monitoring
CertificationsMedical certifications, such as RN or LPNMedical certifications, such as RN or LPN
Work EnvironmentHealthcare facilities, telehealth platformsHome settings, telehealth platforms
Industry UsageHospitals, clinics, telehealth servicesHome healthcare, chronic disease management
Search & Comparison IntentUnderstanding roles in remote health monitoringFocusing on patient-centered remote care

Remote Medical Monitoring and Remote Patient Monitoring both involve overseeing patient health remotely, often requiring similar medical certifications. However, Remote Medical Monitoring typically refers to healthcare professionals tracking patient data in clinical settings or telehealth platforms, while Remote Patient Monitoring emphasizes patient-centered care at home, especially for chronic conditions. Both roles are vital in modern healthcare but serve slightly different purposes and environments.

What are popular job titles related to Remote Medical Monitoring jobs in Texas? For Remote Medical Monitoring jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Medical Monitoring jobs in Texas look for? The top searched job categories for Remote Medical Monitoring jobs in Texas are:
What cities in Texas are hiring for Remote Medical Monitoring jobs? Cities in Texas with the most Remote Medical Monitoring job openings:
Remote Medical Monitoring jobs near you

Medical Director - Medicare Part C

TMF Health Quality Institute

Austin, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 17 days ago

Job description

Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.
*This position is located Remote Anywhere US*
*This position requires a credit check*
Position Purpose:
Provides physician leadership and quality oversight for the task order or project.
Essential Responsibilities:
  • Direct Leadership over Physician Reviewers. Responsible for productivity, production, and quality of the decisions for second level appeals related to Medicare Part C (e.g., Medicare Advantage Organizations, Medicare cost plans, health care prepayment plans, and Programs of All-inclusive Care for the Elderly (PACE)).
  • Provide leadership in support of accurate and timely processing of higher level appeals (reconsiderations) related to Medicare Part C.
  • Provides executive leadership to Physician Reviewers and oversees their productivity, production, and decision letter quality.
  • Oversees, directs and monitors quality and continuous improvement of the quality assurance program.
  • Performs quality audits of physician reviews.
  • Ability to communicate health care appeal issues to various stakeholders
  • Motivate and align staff, processes, and tools to meet contract requirements, government regulations, and provide good customer satisfaction.
  • Develops and monitors reports and data analysis to identify root causes of items that should be improved to improve the overall medical program.

Minimum Qualifications
Education
  • Graduate of an accredited medical school

License and Certification
  • Active State license to practice medicine
  • Board certification

Experience
  • Ten (10) years clinical
  • Five (5) years demonstrated and progressively responsible medical managerial or leadership role
  • At least 5 years of direct Medicare experience working as a medical director, physician reviewer, or other senior medical position within an organization that provides services under Medicare Part C (e.g., Medicare Advantage Organizations, Medicare cost plans, health care prepayment plans, and Programs of All-inclusive Care for the Elderly (PACE)). (Per Contract Requirements)
  • Three (3) years of experience as a physician reviewer on Medicare Part C appeals (Per Contract Requirements)
  • Extensive knowledge of the Medicare program, including the coverage and payment rules of Medicare Part C
  • Knowledge of Medicare regulations, claims administration, and medical review processes
  • No federal or state sanctions as would appear on reporting from the National Practitioner Data Bank (NPDB)
  • Currently have or have had direct patient care within the last three years
  • Experience interpreting and implementing CMS guidelines and regulatory updates related to Medicare Advantage, preferred

Benefits
C2C offers an excellent benefits package, including:
  • Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
  • Section 125 plan
  • 401K
  • Competitive salary
  • License/credentials reimbursement
  • Tuition Reimbursement

EOE Vet/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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