- Texas Health Resources (Frisco, TX)
- …financial data (eg, LOS data, avoidable days, adverse determinations, and denials/ appeals ) and makes recommendations to improve performance. Achieves and maintains ... of supervisory and leadership experience Required Licenses and Certifications RN - Registered Nurse Upon Hire Required Or LMSW - Licensed Master Social Worker Upon… more
- San Antonio Behavioral Health (San Antonio, TX)
- …staff as needed. Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all ... of potential denials and respond appropriately; ie facilitate Physician to Physician appeals when appropriate and assist with construction of appeal letters. +… more
- Houston Methodist (Houston, TX)
- …analytics and real-time dashboards to proactively manage authorization workflows, appeals , and peer reviews. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Identifies, ... programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain permanent… more