- CVS Health (Austin, TX)
- …enhance a member's overall wellness through integration. - Through the use of clinical tools and information/ data review, conducts an evaluation of member's ... This role is a blended role doing both Case Management and Utilization Management . The RN Case...smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of strategies designed to… more
- Humana (Austin, TX)
- …into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior...of the business products with a special focus on clinical care management and technology solutions. This… more
- Datavant (Austin, TX)
- … staff to enhance documentation. + Communicate effectively with co-workers, management , and hospital staff regarding clinical and reimbursement issues. ... Datavant is a data platform company and the world's leader in...compliance assessments, external payer reviews, coding education, interim coding management , and coding workflow operations reviews. In this role,… more
- Humana (Austin, TX)
- …2 or more years of project leadership experience + Strong experience with healthcare data , particularly clinical and claims data used in **HEDIS ... creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …and rearranges patient priorities to accommodate them. Screens requests for proper clinical history and pertinent data . Modifies the examination to match ... System. Participates in the evaluation, analysis, and formulation of radiographic image management . Evaluates the nature of critical and emergency procedures… more
- HCA Healthcare (San Antonio, TX)
- …and programming CIED's following established clinic protocols. + Analyze clinical data and compose written CIED management summaries, clinic visit notes, and ... specialized skill set and will provide both technical and clinical component to ensure the patient care meets established...The Device RN will be independently accountable for the management and coordination of care of patients with devices… more
- CenterWell (Austin, TX)
- … level of care determination based on discussion, medical records, and any other pertinent clinical data . Matches these needs to a service site location or, if ... + **Required to work a rotating holiday schedule.** The ** Clinical Care Coordinator** helps to ensure optimal continuity of...health, hospice, and palliative care services. + Good time management skills. + Ability to learn and master information… more
- CenterWell (Houston, TX)
- …health first** The Nurse Practitioner, Cardiology applies advanced education and clinical competencies within the cardiology specialty to achieve optimal patient ... serves as a health-care provider who specializes in diagnosis, management , and follow-up of patients with any suspected or...and quality for patients and monitors care using available data and chart reviews. + Acts as an active… more
- CVS Health (Austin, TX)
- …enhance a member's overall wellness through integration. - Through the use of clinical tools and information/ data review, conducts an evaluation of member's ... Case Management or Utilization Management experience Case Management Certification **Education** Associate Degree required BSN preferred **Anticipated… more
- HCA Healthcare (Frisco, TX)
- …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Medical ... Supervisor participates as an active member of the nursing management team and assumes authority to manage all activities...and family needs are assessed and met. + Prioritizes clinical rounds to evaluate ongoing staff needs, and if… more