- GardaWorld (Dallas, TX)
- …manage a centralized content library with standard responses, boilerplate text, and case studies. + Support go/no-go decisions and contribute to opportunity analysis ... with business development leadership. + Ensure proposals reflect company branding and messaging standards. + Conduct research on clients, competitors, and industry trends to tailor content appropriately. + Track deadlines, manage timelines, and ensure all… more
- AdventHealth (Killeen, TX)
- …coordinates the activities of the following management positions and functions: + Case Management + Care Navigation + Clinical Pertinence + Continued Performance ... Improvement + Utilization Review Committee + Medical Staff Services + Oversees Medical Quality: Establishes medical quality standards and goals. Monitors the quality performance of: + Medical Anesthesia Director + CVCCU Medical Director + Emergency Medical… more
- Evolent (Austin, TX)
- …Reviewer. In States where allowed, will make denial determinations as a specific case warrants. + Converses with medical office staff in order to obtain additional ... pertinent clinical history/information; notifies of approvals and denials, giving clinical rationale. + Provides optimum customer service through professional/accurate communication while maintaining NCQA and health plans required timeframes. + Documents all… more
- New Horizons Ranch & Center, Inc. (Brownwood, TX)
- …treatment plans. + Accurately completing and maintaining required documentation and case notes per New Horizons' policy and state issued Minimum Standards ... including treatment plan updates and progress notes. + Developing, conducting and monitoring appropriate therapeutic tasks, to assist each kid in accomplishing their treatment goals. + Following the New Horizons' Philosophy and Guidelines, Employee Handbook… more
- CVS Health (TX)
- …level of care using evidence-based criteria - Collaborate with healthcare providers, case managers, and families to optimize care pathways - Ensure compliance with ... regulatory and organizational standards - Provide education and support regarding utilization management processes to colleagues and providers - Document clinical determinations and rationales in accordance with policy - Participate in quality improvement… more
- Baylor Scott & White Health (Dallas, TX)
- …transportation, family pickup, and ride arrangements + Communicates collaboratively with case management, social work, facilities, and patient transport + Completes ... final charting and discharge documentation in the electronic medical record + Provides a calm, welcoming, and hospitality-focused environment for patients awaiting discharge + Supports patient satisfaction by addressing comfort needs and utilizing available… more
- HCA Healthcare (Plano, TX)
- …level of care assessments will be passed to the VPLC AS via the case queue. + Adhere to confidentiality guidelines appropriately and ensure EMTALA and HIPPA ... compliance at all times; compliance concerns will be reported to leadership immediately. + Coordinate communication necessary for a thorough assessment, including but not limited to collateral and key stakeholders responsible for the patient/knowledgeable of… more
- New Horizons Ranch & Center, Inc. (Abilene, TX)
- …developed by clinical staff. + Participate in team meetings, training sessions, and case reviews. + Ensure a safe, clean, and nurturing living environment at all ... times. Qualifications + Must be 21 years of age or older + High School Diploma or GED equivalent is required + Applicants must pass criminal background checks, a drug screening, and a tuberculosis (TB) test + Must possess an active driver's license + Ability… more
- Boardwalk Pipeline Partners (Houston, TX)
- …+ Maintains internal models, systems, and information required for any rate case filings, + Analyzes situations and conditions related to the regulatory processes ... and develops solution proposals for consideration, + Coordinates regulatory and tariff changes within the Regulatory and Legal departments, as well as with other internal departments, + Keeps informed of and communicates applicable regulatory agency… more
- SolomonEdwards (Lewisville, TX)
- …other regulatory reports. . Respond to law enforcement inquiries and prepare case referrals. . Conduct investigations related to wires, ACH, and account takeovers. ... . Collaborate with internal teams to resolve fraud cases. . Maintain compliance with industry regulations and internal standards. **Qualifications:** . Bachelor's degree in Criminal Justice, Finance, or related field. . 3+ years of fraud investigations… more
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