- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all hospitalized patients… more
- HCA Healthcare (Corpus Christi, TX)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Corpus Christi Medical ... Center! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) delivers high quality, patient-centered care and coordinates all functions in the… more
- San Antonio Behavioral Health (San Antonio, TX)
- …the deliverance of quality treatment to patients and their families + Provide quality case management services to all patients and their families + Serve as a member ... or university. + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in behavioral health environment preferred. +… more
- HCA Healthcare (Austin, TX)
- …/ contagious illness exposure follow-up and / or annual testing per protocol + Injury Coordinator and Case Manager for the Employee Health and Safety Plan (HCA's ... David's Employee Health and Safety Program for external employers, and serves as Case Manager and Registered Nurse for Occupational Health Services. + You will plan,… more
- Catholic Health Initiatives (Houston, TX)
- …schedule testing, review results and compile data for presentation of patient's case . + Notify consultants, prepare for and participate in physician‐led and ... multidisciplinary rounds, and communicate with patients, families and all disciplines involved in patient management in order to streamline and identify and solve potential problems. + Maintain effective communication. + Initiate and oversee all pre‐op and… more
- Ascension Health (Austin, TX)
- …+ Document insurance coverage of services to be provided. + Notify case management about interactions with insurance companies regarding services. + Manage denials ... or potential denials as described by insurer. + Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file. **Requirements** Education: + High School diploma equivalency OR 1 year of applicable… more
- Cardinal Health (Austin, TX)
- …manufacturers rethink how far their products can go. **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support ... Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating… more
- Republic Services (Houston, TX)
- …appropriate to ensure accurate billing following standard operating procedure. + Posts case receipts to customer accounts based on information from lock box reports ... and local cash receipt listings. Performs basic and routine research to resolve differences or unidentified/misapplied payments. + Posts payments as appropriate into the billing system to clear open obligations or prepares remittance advices to accompany… more
- MTC (Henderson, TX)
- …needs and risk associated with recidivism. + Maintains accurate and complete case reports, records, and statistics necessary for the evaluation of the program. ... Maintain confidentiality of inmate records. Compiles data and submits reports and related documentation as appropriate. + Participates in sessions designed to teach and practice complex life skills such as assertiveness, anger management, goal setting,… more
- BrightSpring Health Services (Irving, TX)
- …thereafter + Dispose of non-controlled medication under direction of Registered Nurse Case Manager + Follow up on chart reviews and Certified Nursing Assistant ... recommendations by physician and as directed by Registered Nurse + Send prescriptions ordered to pharmacy + Prepare consult paperwork weekly for upcoming appointments and other consults as needed Qualifications + High school diploma or General Education… more