- HD Supply (Flower Mound, TX)
- …Works in multiple departments within a distribution center, including case pick, shipping, receiving, returns, loading, order processing, and replenishment. ... with well-defined policies, procedures, and techniques. Work typically involves regular review of output by a senior coworker or supervisor. **Work Environment**… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill ... Review Analyst plays a critical role in supporting the...a working knowledge of legal terminology, litigation phases, and case management processes to evaluate the appropriateness of billed… more
- Evolent (Austin, TX)
- …for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful impact ... interventional cardiology to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to better… more
- CVS Health (Austin, TX)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical ... consists of working intensely as a telephonic Associate Manager, Case Management with staff and clients for fully and/or...a potential quality of care issue to a physician reviewer . - Identify and address quality issues and participates… more
- Safran (Gainesville, TX)
- …direct management of other employees, primarily it involves the effective independent review of the engineering projects to ensure they are continuing in accordance ... (SST-DEV-012) to support milestone gates or internal milestones (in case of new product/feature development). B) Act as an...of new product/feature development). B) Act as an independent reviewer of both Master Engineering Reviews and Part Design… more
- TEKsystems (Dallas, TX)
- …the form? What department needs to handle this? What specialty? Send it to the right case reviewer . And then they will handle the calls and emails from the ... the process from the basic ones: They will take the client case and triage it. Decide does it need policy review ? Does it have the right type of policy to it?… more
- UTMB Health (Galveston, TX)
- …for Leave Benefits with the employee and employer. Creates the eligible employee leave case in the UTMB Health time capture system. + Coordinates the Sick Leave Pool ... the documentation from the health care provider to the qualified medical reviewer (s) and communicates with the employee regarding the decision. + Preserves all… more
- Elevance Health (Houston, TX)
- …to members and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology ... regimens and supportive care. + Perform physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical necessity… more
- Immigration and Customs Enforcement (Houston, TX)
- …at ICE detention facilities. Responsibilities include biopsychosocial assessments, case management, staff training, and suicide prevention coordination. Requires ... for those identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction with ICE/OPLA to manage serious mental… more
- Houston Methodist (Sugar Land, TX)
- …years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role + ... Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and appeals… more