- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... concurrent and extended stay reviews. + Prepares and submits appeals to third party payors. + Maintains appropriate records...third party payors. + Maintains appropriate records of the Utilization Review Department . + Performs related duties,… more
- Molina Healthcare (Fort Worth, TX)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... The Pharmacist, UM will be responsible for reviewing coverage determinations and appeals in a timely, compliant, and accurate manner. The Pharmacist, UM will… more
- Banner Health (TX)
- ** Department Name:** Denial Recovery-Corp **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $37.14 - $61.90 / hour, based on location, ... place to work and receive care. As an Associate Manager of RN Denials Management, you will be an...leadership in clinical, financial, and personnel management within the department to result in overall reduction in payer clinical… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. This… more
- HCA Healthcare (Plano, TX)
- …of team achieving department goals . Track and trend denial and appeals to identify issues and develop action plans for resolution . Actions demonstrate ... is recognized. Submit your application for the opportunity below:Registered Nurse Case Manager IP RehabMedical City Plano **Benefits** Medical City Plano offers a… more
- CBRE (Dallas, TX)
- VAS - Institutional Funds Manager Job ID 215004 Posted 03-Oct-2025 Service line Advisory Segment Role type Full-time Areas of Interest Valuations/Appraisal ... - United States of America **About The Role:** As a CBRE Valuation Funds Manager , you will independently prepare market value appraisals on real estate assets with… more
- Warren Equipment Company (Odessa, TX)
- **Description** TEAM UP WITH US! The Senior Facilities Manager oversees and manages all aspects of facility operations across multiple dealership sites, ensuring ... the facility infrastructure capital plan. . Inspect facilities and evaluate space utilization across multiple sites to ensure efficient use and alignment with… more
- Houston Methodist (Sugar Land, TX)
- …assistance and data management support to the case management and social work department to facilitate efficient utilization of resources and discharge planning ... care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies,… more
- The Cigna Group (Austin, TX)
- …Specialty Pharmacy programs, terminology, specialty injectable medications, Cigna Coverage Review Department (CCRD), appeals , and/or utilization management + ... Advisor Role Summary:** Reporting to the Gene and ACT Clinical Program Senior Manager , the Program Advisor plays a key role in ensuring strategic, operational, and… more