- AccentCare, Inc. (Houston, TX)
- …policies and protocols Pariticpates and promotes Back to Bedside efforts in reinforcing Case Management skills, and knowledge and attitude per protocol for all ... Overview Registered Nurse / RN Team Director , Hospice Location: Houston, Texas Position: Registered...and maintain valid CPR certification while employed in a clinical role (preferred) Must be a licensed driver who… more
- BrightSpring Health Services (Harlingen, TX)
- …clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability ... payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical...license. + Must have two years of experience with case management or related discipline + Must… more
- Texas Health Resources (Arlington, TX)
- ** Director Quality Patient Safety and Risk** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... of Quality & Patient Safety initiatives. **Job Duties** OPERATIONS: ACCREDITATION/ CLINICAL CERTIFICATION - Oversight and facilitation of data submission for… more
- Molina Healthcare (El Paso, TX)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... are completed on time and accurately to present results to key departmental management and other Molina departments as needed + Writes narrative reports to interpret… more
- Caris Life Sciences (Austin, TX)
- …laboratory companies, or extensive experience working in health plan contracting, coverage or case management . + 5+ years of reimbursement programs in pharma, ... than yourself, Caris is where your impact begins.** **Position Summary** The Director of Market Access drives medical policy coverage initiatives and contracting… more
- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. + Generating phone calls to… more
- Molina Healthcare (Dallas, TX)
- …in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures ... HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous… more
- HCA Healthcare (Austin, TX)
- …patient placement through clinical screenings and assessments in collaboration with hospital case management and the rehab Medical Director . + You will ... off-site review of patients in designated facilities to assist Case Management in identifying patients that could...rehab services. + You will perform on-site and off-site clinical evaluation to assist Rehab Medical Director … more
- BrightSpring Health Services (Corpus Christi, TX)
- …services/training programs on a routine basis in cooperation with Operations management ; monitoring both skilled and non-skilled healthcare services + Directly ... supervises clinical personnel + Providing clinical teaching and...standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees… more
- BrightSpring Health Services (Harlingen, TX)
- …services/training programs on a routine basis in cooperation with Operations management ; monitoring both skilled and non-skilled healthcare services + Directly ... supervises clinical personnel + Providing clinical teaching and...standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees… more