- Humana (Austin, TX)
- …in day-to-day UM activities and discussions with UM leaders. 20% 2. Review and monitor Contract Change Orders and evaluate impact on Utilization Management ... with Humana's ethics and compliance policies and connects industry and regulatory changes to our strategy. Articulates how Humana's value proposition differentiates… more
- UTMB Health (Galveston, TX)
- …Registered Health Information Administrator (RHIA), Technician (RHIT), or an associate degree in a healthcare-related discipline with Certified Coding Specialist ... patient status that translates into coded data. **Job Duties:** + Concurrently review inpatient admissions to identify opportunities to clarify missing or incomplete… more
- Houston Methodist (Houston, TX)
- …and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties ... include participating in quality review and performance improvement projects throughout the department and/or...electronic encoder application in accordance with hospital policy and regulatory body guidelines. + Performs accurate, optimal DRG and… more
- Texas A&M University System (College Station, TX)
- …Bacteriology/Mycology testing section, including budgetary matters, routine and regulatory testing, test development, client communications, quality assurance, ... and non-routine testing. Works closely with Diagnostic Services/Veterinary Services, Associate Director, Assistant Agency Director for Microbiology, fellow Section… more
- Fujifilm (College Station, TX)
- …implement, and maintain the risk-based PQS sub-systems to meet all CGMP regulatory requirements for phase-appropriate clinical and commercial bulk drug substance and ... organization is continuously complying with site and global quality standards, regulatory requirements, and partner commitments. + Lead the Quality Compliance team… more
- HCA Healthcare (Decatur, TX)
- …the hospital to establish safety programs and policies that meet all regulatory requirements including The Joint Commission. As the safety officer is responsible ... care through compliance with departmental policies, hospital and external regulatory agency guidelines. 5. Accepts 24-hour accountability and responsibility for… more
- Texas Health Resources (Fort Worth, TX)
- …As required for service, verify that standards are consistent with regulatory and accreditation standards and requirements. Actively incorporate measures to obtain ... compliance with regulatory and accreditation standards and requirements. Identify and utilize...patient outcomes, patient safety outcomes and productivity guidelines. Monthly review of the Departmental Responsibility Reports (DRRs) to determine… more
- US Foods (Garland, TX)
- …* Lead with a safety mindset that ensures that every US Foods associate remains injury free, always. Champion safety procedures, processes and training to create ... assisting in problem resolution when required, and leading by example. Discuss associate performance with Sr. Warehouse Managers and create plans to address gaps.… more
- St. George Tanaq Corporation (Austin, TX)
- …and Skills** + One (1) year of Medicare appeals, medical review , clinical, healthcare regulatory interpretation/application, healthcare compliance or related ... clear, concise, and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical evidence in accordance… more
- American Electric Power (Texarkana, TX)
- …: Provide construction expertise to facilitate optimal engineered design. Review civil grading, grounding, foundation, conduit/cable schedules, wiring diagrams, ... adherence to necessary permits for crossings and site access. + **Document Review ** : Review project documents and drawings, providing constructive feedback… more