- Evolent (Austin, TX)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- HCA Healthcare (Houston, TX)
- …and personal growth, we encourage you to apply for our Clinical Rehab Specialist PRN opening. We review all applications. Qualified candidates will be ... referral sources, and inpatient rehabilitation operations and establish relationships with case managers, physicians, payors, and other referral sources.** + **You… more
- HCA Healthcare (Houston, TX)
- …Days M-F with a weekend requirement (1-weekend per month)** **Clinical Rehab Specialist ** also known as: Rehab Liaison, Rehab Business Development, Rehab Admissions ... referral sources, and inpatient rehabilitation operations and establish relationships with case managers, physicians, payors, and other referral sources. + You will… more
- ChenMed (Houston, TX)
- …as part of the clinical operations team and is responsible for providing specialist patient care in nursing homes, skilled nursing facilities (SNF) and home ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards… more
- KBR (Houston, TX)
- …folders in accordance with program policy. + Coordinate attendance and agenda at Case Review Committee with military and civilian agencies. + Coordinate and ... tentative following weeks agenda. + Prepare open and closed case reports for required special handling of outpatient medical...specialty must be as a mental health technician / specialist . + The contractor shall have no less than… more
- Deloitte (Austin, TX)
- …for you! Recruiting for this role ends on 01/31/2026. Work you'll do + Review and sign individual tax returns + Review tax equalization calculations and ... + Certified Equity Professional (CEP) + Certified Employee Benefits Specialist (CEBS) + Certified Pension Consultant (CPC) + Certified...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- CenterWell (Corpus Christi, TX)
- …experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in care, ensuring clinical ... coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence… more
- Molina Healthcare (Austin, TX)
- …**Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional ... the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or other specific program… more
- VCA Animal Hospitals (Willow Park, TX)
- …follow-up and future management of the patient. * Supervise the administration and case review of client medical complaints. * Positively represent the hospital ... with the approval of the Regional Management team. * Review the P&L Report monthly and partner with the...and discomfort; recommend referral to another VCA doctor or specialist when this is likely to significantly improve the… more
- Subaru of America (Coppell, TX)
- …Goodwill (GW) financial decisions, handling escalations, and assisting with case -related questions as needed. Oversees coaching sessions, experience reviews, and ... continuous improvement. Partners with managers and the Performance Coach to review findings, recommend coaching enhancements, and align on actionable strategies that… more